A nurse is teaching the parent of a newborn about bottle feeding. Which of the following statements by the parent indicates a need for further instruction?

"I will keep my baby's head elevated while he is feeding.”

"I will allow my baby to burp several times during each feeding.”

"I will tip the nipple so air is present as my baby sucks.”

"My baby will have soft, formed yellow stools.”

Answer and Explanation

The Correct Answer is C

The correct answer is choice C: "I will tip the nipple so air is present as my baby sucks.”
Choice A rationale:

The parent's statement in choice A, "I will keep my baby's head elevated while he is feeding,” indicates an understanding of proper bottle feeding techniques. Keeping the baby's head slightly elevated can help prevent choking and aspiration during feedings. This is a correct statement, and no further instruction is needed in this regard.

Choice B rationale:

The parent's statement in choice B, "I will allow my baby to burp several times during each feeding,” also demonstrates knowledge of appropriate bottle feeding practices. Burping the baby during and after feedings helps release swallowed air, reducing the likelihood of excessive gas and discomfort. This statement is correct, and no additional instruction is required.

Choice C rationale:

Choice C is the incorrect statement because tipping the nipple to introduce air while the baby sucks is not a recommended practice. In fact, it can lead to an increased intake of air, potentially causing gas, discomfort, and colic in the baby. Therefore, further instruction is needed to correct this misconception.

Choice D Rationale:

Choice D is not directly related to the need for further instruction in bottle feeding techniques and is not addressed in the explanation.

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Correct Answer is C

Explanation

Choice A rationale:

Vitamin E is essential for cell function and acts as an antioxidant. While vitamin E is important during pregnancy, there is no specific recommendation to increase its intake during gestation. The recommended daily allowance (RDA) for vitamin E during pregnancy is 15 mg.

Choice B rationale:

Vitamin D is crucial for calcium absorption and bone health. However, it is not explicitly advised to increase vitamin D intake during pregnancy, and it largely depends on the individual's baseline vitamin D levels. The RDA for vitamin D during pregnancy is 600 IU.

Choice C rationale:

Fiber is essential during pregnancy as it helps prevent constipation, which is a common problem due to the increased levels of progesterone. A high-fiber diet also helps in maintaining healthy blood sugar levels, which is important to avoid gestational diabetes.
Choice D rationale:

Calcium is vital for the development of the baby's bones and teeth. While it is an important nutrient during pregnancy, the body's ability to absorb calcium improves during pregnancy, so the recommended intake does not increase as much as fiber.

A. Initiate continuous monitoring of the FHR. B. Administer a dose of betamethasone. C. Check the cervix for dilation every 8 hours. D. Request that the provider prescribe misoprostol PRN.

Correct Answer is A

Explanation

The correct answer is A. Initiate continuous monitoring of the FHR. For a client with placenta previa, continuous fetal heart rate (FHR) monitoring is essential to assess the baby's well-being due to the risk of fetal distress from reduced oxygen supply

Choice A reason:

Continuous FHR monitoring is a standard care practice for clients with placenta previa to promptly detect any signs of fetal distress and intervene as necessary.

Choice B reason:

Betamethasone is typically administered to enhance fetal lung maturity before 34 weeks of gestation, not for placenta previa. Its use at 35 weeks is less common unless there's a risk of preterm birth within 7 days and the patient hasn't received a previous course.

Choice C reason:

Checking the cervix can induce bleeding and is contraindicated in placenta previa because it may disturb the placental site and exacerbate bleeding.

Choice D reason:

Misoprostol is used for labor induction or to treat postpartum hemorrhage. It is not indicated for placenta previa management and can cause uterine contractions leading to increased bleeding.

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A nurse is teaching the parent of a newborn about bottle feeding. Which of the following statements by the parent indicates a need for further instruction?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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