"How will I know if my baby is getting enough breast milk?"

Your baby should burp after each feeding.

Your baby should wet 6 to 8 diapers per day.

Your baby should sleep at least 6 hours between feedings.

Your baby should have a wake cycle of 30 to 60 minutes after each feeding.

Answer and Explanation

The Correct Answer is B

Choice A reason:
While burping can be a sign that a baby is feeding, it is not a reliable indicator of whether the baby is getting enough breast milk. Burping is a way to release air that babies swallow during feeding, which can help prevent discomfort and gas. However, it does not correlate directly with the amount of milk intake.

Choice B reason:
The number of wet diapers is a direct indicator of a baby's hydration status and, by extension, how much breast milk they are receiving. A newborn who is getting enough milk will typically have 6 to 8 wet diapers per day after the first few days of life. This shows that the baby is well-hydrated and is receiving sufficient milk.

Choice C reason:
Sleep patterns in newborns can vary widely, and sleeping for at least 6 hours between feedings is not typical for a 2-day-old baby. Newborns usually need to feed every 2 to 3 hours, and long stretches of sleep without feeding may indicate that the baby is not getting enough milk and does not have the energy to wake and feed.

Choice D reason:
A wake cycle of 30 to 60 minutes after feeding can be normal for some babies, but it is not a measure of whether they are getting enough milk. The wake cycle can be influenced by many factors, including the baby's overall health, comfort, and environment.

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Correct Answer is D

Explanation

Choice A rationale: Vitamin K deficiency in newborns can cause bleeding disorders due to impaired clotting, but it does not cause jaundice. Jaundice is related to bilirubin metabolism, not coagulation pathways.

Choice B rationale: Physiologic jaundice typically appears after 24 hours of life due to immature liver function. Jaundice observed immediately at birth suggests a pathologic cause, not physiologic immaturity.

Choice C rationale: Maternal cocaine abuse may cause neonatal irritability, tremors, or growth restriction, but it is not directly linked to jaundice. Cocaine affects neurobehavioral outcomes, not bilirubin metabolism.

Choice D rationale: Maternal/newborn blood group incompatibility (e.g., ABO or Rh) causes hemolysis of fetal red blood cells, leading to elevated bilirubin levels and jaundice within the first 24 hours—hallmark of pathologic jaundice.

A. History of migraines B. History of gestational hypertension C. Twin gestations D. Nulliparous E. Oligohydramnios

Correct Answer is ["A","C","D"]

Explanation

Choice a) Reason: History of migraines
Women with a history of migraines may experience an improvement or worsening of their migraine symptoms during pregnancy. Hyperemesis gravidarum, a condition characterized by severe nausea and vomiting, can be associated with migraines due to hormonal changes, stress, or dehydration that pregnancy may exacerbate.

Choice b) Reason: History of gestational hypertension
Gestational hypertension typically develops after 20 weeks of gestation, so it would not be expected in a client at 8 weeks of gestation. Additionally, there is no direct correlation between gestational hypertension and hyperemesis gravidarum.

Choice c) Reason: Twin gestations
Twin or multiple gestations can increase the likelihood of hyperemesis gravidarum due to higher levels of hCG (human chorionic gonadotropin) and other pregnancy-related hormones. These elevated hormone levels are associated with more severe nausea and vomiting.

Choice d) Reason: Nulliparous
Nulliparity (having never given birth) is not directly associated with an increased risk of hyperemesis gravidarum. However, first-time pregnancies can be unpredictable, and the condition can occur regardless of parity.

Choice e) Reason: Oligohydramnios
Oligohydramnios refers to a decreased amount of amniotic fluid and is not typically associated with hyperemesis gravidarum. It is more commonly related to conditions affecting the placenta or fetal kidneys.

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"How will I know if my baby is getting enough breast milk?"

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?

Correct Answer is D

Explanation

A nurse in a clinic is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse expect? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who is postpartum and has received methylergonovine. Which of the following findings indicates that the medication was effective?

A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity from magnesium sulfate therapy and report to the provider?

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A nurse is teaching about nutrition guidelines to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?