A newborn is reported to have breastfed very well during the first successful feeding after birth.
The baby is now 4 hours old and has not had a second feeding.
The nurse would:
Advise the mother to stop nursing and offer formula.
Teach the mother to pump her breast.
Advise the mother to discuss this with the newborn's pediatrician.
Teach about newborn sleep and hunger patterns.
The Correct Answer is D
Choice A rationale
It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.
Choice B rationale
Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.
Choice C rationale
Consulting the pediatrician is not immediately necessary for this situation.
Choice D rationale
Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
A large ecchymotic caput succedaneum, which is swelling of the scalp due to birth trauma, usually resolves within a few days. However, its large size and presence of bruising should be monitored for potential complications such as jaundice.
Choice B rationale
Yellow discoloration of the sclera and oral mucosa indicates jaundice, which can be due to hyperbilirubinemia. This condition requires follow-up and possible treatment to prevent severe complications.
Choice C rationale
A level and soft fontanel in a newborn is a normal finding. It does not require follow-up as it indicates that intracranial pressure is normal.
Choice D rationale
A respiratory rate of 78/min in a newborn is significantly higher than the normal range (30-60/min). This finding requires follow-up to assess for respiratory distress or other underlying conditions.
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