A nurse is preparing to bottle feed a newborn who is formula fed.
Which of the following actions should the nurse take?
Warm the formula in a microwave oven for a few seconds
Discard any unused formula after 2 hours at room temperature.
Hold the newborn in a semi-upright position during feeding
Burp the newborn after finishing each ounce of formula
The Correct Answer is C
Hold the newborn in a semi-upright position during feeding. This prevents the formula from flowing back into the baby’s ears and causing infections. It also helps the baby swallow less air and reduces the risk of choking.
Choice A is wrong because warming the formula in a microwave oven can create hot spots that can burn the baby’s mouth. The formula should be warmed by running it under warm tap water or placing it in a bowl of warm water.
Choice B is wrong because discarding any unused formula after 2 hours at room temperature is too long. Bacteria can grow rapidly in warm milk that is left sitting out and unused. The formula should be discarded after one hour at room temperature or within 24 hours if refrigerated.
Choice D is wrong because burping the newborn after finishing each ounce of formula is not necessary. Burping can interrupt the feeding and make the baby lose interest in finishing the bottle. The baby should be burped only when they show signs of discomfort or after finishing the feeding.
Normal ranges for formula intake vary depending on the baby’s age, weight and appetite. In general, newborn babies need around 150 to 200 ml per kilo of their weight a day until they’re 6 months old. The baby should be fed when they show signs of hunger, such as rooting, sucking or crying, and not forced to finish the bottle if they are full.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Grilled cheese sandwich with tomato soup.This food choice indicates an understanding of the teaching because it is low in purines, which are chemicals that break down into uric acid and can trigger gout attacks.
Some additional information for the response are:
• Choice A.Liver and onions with mashed potatoes is wrong because liver is an organ meat that is high in purines and should be avoided by people with gout.
• Choice C.Roast beef with green beans and rice is wrong because roast beef is a red meat that is high in purines and should be limited by people with gout.
• Choice D.Sardines on whole wheat crackers with cheese is wrong because sardines are a type of oily fish that is high in purines and should be avoided by people with gout.
• A low-purine diet for gout management should include fruits, vegetables, whole grains, legumes, nuts, and low-fat dairy products.It should also limit sugar, alcohol, and meat consumption.
Correct Answer is D
Explanation
All of these conditions would warrant a referral to specialized care for severe diseases or complications related to nutrition and feeding.
Choice A is wrong because phenylketonuria (PKU) in the infant is a genetic disorder that causes an amino acid called phenylalanine to build up in the body.This can lead to intellectual disability, seizures, and other neurological problems if not treated with a special diet that limits phenylalanine.
Choice B is wrong because gestational diabetes mellitus (GDM) in the mother is a condition where the mother has high blood sugar levels during pregnancy.This can increase the risk of complications for both the mother and the baby, such as preeclampsia, macrosomia, birth injuries, and neonatal hypoglycemia.
Choice C is wrong because cleft lip or palate in the infant is a birth defect where the upper lip or roof of the mouth does not form properly.This can affect the infant’s ability to feed, speak, and breathe, and may require surgery and other interventions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today