A nurse is teaching a new mother about the signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?

Your baby can lose 10% of his birth weight and should return to weight by 7-14 days of age.

Your baby should gain 0.25 oz (7 grams) per day after the fourth day of life.

Expect your baby to have less than 5 wet diapers per day after the fourth day of life.

Expect your baby to feed constantly during the first week of life.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
A newborn can lose up to 10% of their birth weight in the first few days after birth, which is considered normal. By 7-14 days of age, the baby should have regained their birth weight if breastfeeding effectively.
Choice B rationale:
Gaining 0.25 oz (7 grams) per day after the fourth day of life is not a standard guideline for assessing effective breastfeeding.
Choice C rationale:
Expecting the baby to have less than 5 wet diapers per day after the fourth day of life may indicate dehydration or inadequate breastfeeding, which is not a sign of effective breastfeeding.
Choice D rationale:
Expecting the baby to feed constantly during the first week of life is not necessarily an indicator of effective breastfeeding. While frequent feeding is normal in the early days, the baby should be able to effectively feed and show signs of satiety after nursing.

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Correct Answer is A

Explanation

Choice A rationale:

Newborns of diabetic mothers are at risk of developing hypoglycemia (low blood sugar) after birth, especially if they are large for gestational age like the newborn in this scenario.
Choice B rationale:

Hypercalcemia (high blood calcium levels) is not a typical concern in newborns of diabetic mothers, and it is not directly related to the baby's size.
Choice C rationale:

Decreased REC (Respiratory Exchange Capacity) is not a common issue in this scenario, and it is not related to the baby's size or the mother's diabetes.

A. Encourage the client to nurse more frequently so her milk will come in. B. Report the client's temperature elevation. C. Increase IV fluids. D. Ask the client to empty her bladder.

Correct Answer is D

Explanation

A. Breast engorgement typically occurs around days 3 to 5 postpartum, so encouraging frequent nursing at 14 hours postpartum will not impact milk production at this stage.
B. A temperature of 37.7°C (100°F) is a normal postpartum finding due to dehydration and hormonal changes. It does not require reporting unless it exceeds 38°C (100.4°F).
C. Increasing IV fluids is not necessary unless there is evidence of dehydration or another medical indication.
D. A slightly deviated fundus suggests bladder distension, which can interfere with uterine involution. Asking the client to empty her bladder helps the uterus contract properly and prevents complications such as postpartum hemorrhage.

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A nurse is teaching a new mother about the signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus firm, slightly deviated to the right moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?

Correct Answer is D

Explanation

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