"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 rationale: Establishing IV access is necessary for potential fluid or blood replacement, but it is not the immediate priority over assessing the current physiological status of the fetus.
Choice B rationale: Monitoring the amount and color of vaginal bleeding is a vital assessment, but it does not provide direct information regarding the fetal response to the placental complication.
Choice C rationale: Assessing the fetal heart rate via external monitoring is the priority to ensure fetal well-being and detect distress, as the fetus is at high risk for hypoxia in placenta previa.
Choice D rationale: Glucocorticoids are administered to promote fetal lung maturity in anticipation of a preterm birth, but this intervention occurs after the initial assessment of fetal and maternal stability.
Correct Answer is C
Explanation
Choice A reason:
Providing a sitz bath to a client with a fourth-degree laceration is a task that requires clinical judgment and skill to assess the healing process and manage potential complications. This task should not be delegated to an AP as it falls outside their scope of practice.
Choice B reason:
Monitoring vital signs during the admission of a client with gestational hypertension involves assessment and interpretation of data to detect potential complications. This is a nursing responsibility and should not be delegated to an AP, as it requires clinical judgment and knowledge of gestational hypertension.
Choice C reason:
Changing the perineal pad of a client who just transferred from labor and delivery is a task that can be delegated to an AP. This task does not require the AP to make assessments or clinical judgments, which makes it appropriate for delegation. The nurse should ensure that the AP has been trained and is competent in performing this task.
Choice D reason:
Observing an area of redness on the breast of a client who is 1 day postpartum involves assessment skills to determine if the redness is indicative of an infection or other complication. This task should not be delegated to an AP, as it requires clinical judgment and knowledge of postpartum complications.
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