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 A

Explanation

A. A single crease in the palm is correct. A single transverse palmar crease (simian line) is a common finding in infants with trisomy 21.
B. A notch in the lip is not a common finding in trisomy 21. This feature is more associated with other conditions like cleft lip or palate.
C. Extra digits on the hand (polydactyly) is not characteristic of trisomy 21. It is more commonly associated with other genetic conditions.
D. An inversion of the foot (clubfoot) is not a specific finding for trisomy 21. While some infants with trisomy 21 might have foot deformities, this is not a defining characteristic.

A. Administer the medication into the deltoid muscle. B. Administer the medication with a 25-gauge needle. C. Administer the medication 12 hr after birth. D. Check the mother's Rh factor prior to administration. E. None F. None

Correct Answer is C

Explanation

A. The deltoid muscle is not recommended for newborns; the vastus lateralis is the preferred site for intramuscular injections.
B. A 25-gauge needle is an appropriate size for newborn injections, but needle choice alone is not the priority action for this specific medication administration.
C. Phytonadione (Vitamin K) is typically administered within the first 6 to 12 hours after birth, allowing time for initial stabilization and bonding before injection, while still preventing vitamin K deficiency bleeding.
D. The mother’s Rh factor is unrelated to vitamin K administration; it is only assessed when considering the need for Rho(D) immune globulin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the newborn nursery is caring for an infant who has trisomy 21. When collecting data, which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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