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 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.

Correct Answer is ["89.722 mL"]

Explanation

To convert ounces to milliliters, we use the conversion factor: 1 oz = 29.5735 mL

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (0800 feedings)

1 oz = 1 * 29.5735 = 29.5735 mL (1100 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1300 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1600 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1830 feeding)

Total intake = 14.7868 + 29.5735 + 14.7868 + 14.7868 + 14.7868 = 89.722 mL

So, the nurse should record 89.722 mL of formula as the client's intake for the shift.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

.A nurse is caring for a newborn who is formula-fed. The newborn takes 0.5 oz of formula at 0800, 1 oz at 1100, 0.5 oz at 1300, 0.5 oz at 1600, and 0.5 oz at 1830. How many mL of formula should the nurse record as the client's intake for the shift?

Correct Answer is ["89.722 mL"]

Explanation

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