A newborn is most interested in eating in which wake and sleep state?

crying.

alert.

drowsy.

active alert.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Newborns do not show interest in eating while crying. Crying is usually an indication of distress or hunger and not a state where they are interested in eating.

Choice B rationale:

Newborns are most interested in eating when they are in an "alert”. state. During this state, the baby is awake, calm, and attentive, making it an ideal time for feeding.

Choice C rationale:

In the "drowsy”. state, newborns may be sleepy and less interested in eating. They might feed less effectively in this state.

Choice D rationale:

"Active alert”. is a state where the newborn is awake, attentive, and active. While they may be interested in their surroundings, they may also be easily distracted during feeding.

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Correct Answer is D

Explanation

Choice A rationale:

Notifying the provider immediately may be an appropriate action in certain urgent situations. However, for a newborn who has not voided for the first time yet, it is not an immediate emergency. The priority is to assess the newborn's condition further before notifying the provider.

Choice B rationale:

Pressing on the bladder to prevent urine retention is not a recommended action. Applying pressure on the newborn's bladder can be harmful and is not a standard nursing practice.

Choice C rationale:

Administering IV fluid is not the priority action for a newborn who has not voided. Newborns usually receive sufficient hydration from breastfeeding or formula feeding, and administering IV fluid without proper indication can lead to potential complications.

Choice D rationale:

Documenting and continuing monitoring is the correct priority action in this situation. Newborns often take some time to pass their first urine, and it is considered normal for them to have delayed voiding within the first 24 hours after birth. The nurse should document the absence of voiding and monitor the newborn for any signs of distress or abnormalities. If the newborn's condition worsens or if there are other concerning symptoms, then notifying the provider may be necessary.

A. "I won't wear a bra during the daytime.". B. "I'll apply cold compresses 20 min before each feeding.". C. "I'll feed my baby every 2 hours.". D. "I will stop breastfeeding until I am done with the antibiotics.".

Correct Answer is C

Explanation

Choice A rationale:

Wearing a supportive bra can actually help to manage engorgement, so it's not recommended to avoid wearing one during the day.

Choice B rationale:

Cold compresses are typically applied after feeding to reduce swelling, not before. Applying them before might hinder the milk let-down reflex.

Choice C rationale:

Frequent feeding can help to alleviate engorgement by ensuring that the breasts are being emptied regularly.

Choice D rationale:

Stopping breastfeeding until finishing antibiotics is not advisable, as it can lead to decreased milk supply and potential issues with engorgement. Antibiotics prescribed by a healthcare provider are usually safe to take while breastfeeding, and interrupting breastfeeding can exacerbate the engorgement problem. This choice is not appropriate for managing breast engorgement and is therefore incorrect.

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A newborn is most interested in eating in which wake and sleep state?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an 18-hour-old newborn who has not voided for the first time yet. What is the nurse's priority action?

Correct Answer is D

Explanation

A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

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A newborn is most interested in eating in which wake and sleep state?

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