A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect?

Decreased circulating RBC

Blood glucose instability

Retinopathy

Well-rounded abdomen

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Newborns who are small for gestational age (SGA) are not at risk of having decreased circulating red blood cells (RBCs).
Choice B rationale:
Blood glucose instability is a common finding in SGA newborns.
Choice C rationale:
Retinopathy is not typically associated with being small for gestational age in newborns.
Choice D rationale:
A well-rounded abdomen is not specifically associated with being small for gestational age. SGA newborns often have a smaller body size compared to their gestational age, and their abdomen may appear proportionally smaller.

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Correct Answer is C

Explanation

Choice A rationale: Placing elbow restraints is not a recommended practice for preterm newborns. Restraints are used in some cases to prevent the baby from pulling on tubes or lines, but it is not primarily for energy conservation.
Choice B rationale: While frequent position changes are important to prevent pressure ulcers and promote comfort, they may not necessarily help conserve energy in a preterm newborn.
Choice C rationale: Preterm newborns have limited energy reserves, and conserving energy is essential for their growth and development. Clustering care activities involves combining nursing care tasks to allow for longer periods of uninterrupted rest for the baby. This approach reduces the baby's energy expenditure and promotes better weight gain and stability.
Choice D rationale: While gentle touch and massage can be beneficial for preterm newborns to promote bonding and relaxation, it may not directly conserve energy as cluster care does.

A. "Your baby's mouth is rather small so she will only take part of nipple." B. "You should place your nipple and some of the areola into her mouth." C. "Try to place the nipple, the entire areola, and some breast tissue beyond the areola into her mouth." D. "Babies know instinctively exactly how much of the nipple to take into their mouth."

Correct Answer is B

Explanation

Choice A rationale:
Placing only part of the nipple in the baby's mouth may result in an ineffective latch, leading to breastfeeding difficulties.
Choice B rationale:
Placing the nipple and 2 to 3 cm of areolar tissue around the nipple into the baby’s mouth aids in adequately compressing the milk ducts. This placement decreases stress on the nipple and prevents cracking and soreness.
Choice C rationale:
Placing the entire areolar is not appropriate.
Choice D rationale:
While babies do have natural instincts to breastfeed, it is essential to provide the mother with specific guidance on achieving a proper latch to ensure successful breastfeeding.

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A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a preterm newborn. To help the newborn conserve energy, which of the following actions should the nurse recommend?

Correct Answer is C

Explanation

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby's mouth, which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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