"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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Inserting an indwelling urinary catheter can be helpful in measuring urine output and reducing bladder distention, which may impede uterine contractions. However, it is not the immediate next step in managing postpartum hemorrhage.
Choice B reason:
Administering oxytocin by continuous IV infusion is a standard intervention to promote uterine contractions after delivery, which helps to control bleeding. However, before starting an oxytocin infusion, it is important to ensure that there are no retained placental fragments and that the uterus is not already well-contracted.
Choice C reason:
Massaging the client's fundus is the priority action because it can stimulate uterine contractions, which are essential for controlling postpartum bleeding. A firm, contracted uterus helps to compress the blood vessels and prevent excessive bleeding.
Choice D reason:
Tilting the client onto her right side with her legs elevated can help improve venous return and may be part of the management for shock. However, the immediate concern in a postpartum client with excessive bleeding is to manage the bleeding by promoting uterine contractions.
Correct Answer is A
Explanation
Choice A reason:
Placental insufficiency is a significant cause of a newborn being small for gestational age. It occurs when the placenta cannot deliver an adequate supply of nutrients and oxygen to the fetus. This condition can result from several factors, including maternal hypertension, diabetes, and certain infections. Placental insufficiency leads to intrauterine growth restriction (IUGR), which is often diagnosed when a fetus's estimated weight is below the 10th percentile for its gestational age¹². The normal range for fetal growth varies, but a key indicator is the consistent growth along a certain percentile line on growth charts.
Choice B reason:
Fetal hyperinsulinemia is typically associated with mothers who have diabetes. Insulin acts as a growth hormone; thus, excessive insulin can lead to macrosomia, where the newborn is larger than normal for the gestational age, not smaller². Therefore, fetal hyperinsulinemia is not a likely cause of SGA.
Choice C reason:
Preterm delivery can result in a newborn being small for gestational age simply due to the fact that the baby is born before reaching full term and having the opportunity to achieve the expected in-utero growth. However, being born preterm does not necessarily mean the infant is SGA; it means the infant is smaller than full-term babies because they have had less time to grow in utero¹.
Choice D reason:
Perinatal asphyxia refers to a lack of oxygen to the fetus during the time immediately before, during, or after birth. While it can lead to various complications and is a serious condition, it is not a direct cause of a newborn being small for gestational age. Perinatal asphyxia can occur in infants of any gestational age or size².
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