A nurse is reinforcing teaching with a mother who is bottle feeding her newborn with formula. Which of the following statements should the nurse include in the teaching?

"Each feeding should last between 20 and 30 minutes."

"Refrigerate formula from a feeding for up to 4 hours for reuse."

"Prepared formula can be stored in the refrigerator for up to 2 days."

"Wait until the end of the feeding to burp your baby."

None

Answer and Explanation

The Correct Answer is A

A. Feeding sessions typically last 20 to 30 minutes, allowing the newborn to feed at a comfortable pace and promoting bonding.
B. Formula remaining in the bottle after feeding should be discarded because bacteria from the infant’s mouth can contaminate it; it should not be refrigerated for reuse.
C. Prepared formula can be safely stored in the refrigerator for up to 48 hours only if it has not been fed to the infant; however, once offered, it must be discarded after the feeding.
D. The newborn should be burped periodically during the feeding, such as halfway through and at the end, to reduce swallowed air and discomfort.

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Correct Answer is B

Explanation

A. Insert the suppository 5 cm (2 in) is incorrect. The suppository should be inserted about 2-3 inches into the vaginal canal, not specifically 5 cm, but the exact depth may vary.
B. Insert the suppository along the posterior vaginal wall is correct. Inserting the suppository along the posterior vaginal wall helps ensure it reaches the area where it is needed for effective treatment.
C. Apply petroleum jelly to the suppository is incorrect. The suppository should not be coated with petroleum jelly; it should be used as is to avoid interference with its absorption and effectiveness.
D. Assist the client into a prone position is incorrect. The client should be assisted into a supine position with knees bent or into a lithotomy position for the insertion of the suppository, not a prone position.

A. The newborn's legs flex at the knees and hips when pressure is applied to the soles of the newborn's feet. B. The newborn turns their head away from the stimulus when their cheek is touched. C. The newborn's fingers curl around the nurse's finger when placed in the newborn's palm. D. The newborn closes their eyes and keeps them closed when tapped on the forehead.

Correct Answer is C

Explanation

A. This describes the stepping reflex, which involves the newborn's legs moving in a stepping motion when the soles of the feet touch a surface, not just flexing at the knees and hips. It is expected but not the most relevant to the of reflex elicitation as stated.
B. The newborn turns toward the stimulus when their cheek is touched, not away. This is known as the rooting reflex, which helps the newborn find the breast or bottle for feeding.
C. The newborn's fingers curling around the nurse's finger is the grasp reflex, a normal and expected finding in newborns. It indicates normal neurological development and reflex activity.
D. The newborn blinking in response to a tap on the forehead is known as the glabellar reflex, but they do not typically keep their eyes closed. It is not a primary reflex assessed in newborns for neurological health.

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A nurse is reinforcing teaching with a mother who is bottle feeding her newborn with formula. Which of the following statements should the nurse include in the teaching?

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