The infant should have six wet diapers daily.
The infant will burp after every feeding.
The infant will have frequent loose yellow stools each day.
The infant should gain weight at a steady rate.
The infant should sleep through the night.
None
None
The Correct Answer is C
Choice A rationale
While burping is important after feeding to prevent discomfort and regurgitation, it does not directly indicate overall health or hydration status.
Choice B rationale
Frequent loose yellow stools are typical in breastfed infants and indicate proper digestion and nutrition, but do not address overall hydration status directly.
Choice C rationale
Steady weight gain indicates good nutrition and overall health in the infant, reflecting adequate feeding and hydration.
Choice D rationale
Sleeping through the night is not an expectation for newborns, as they typically need frequent feeding due to small stomach capacity and rapid growth needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Herbal tea is not scientifically proven to reduce breast engorgement and may not be effective.
Choice B rationale
Warm compresses applied before feeding help to soften the breasts, making it easier for the baby to latch and reducing engorgement.
Choice C rationale
Letting the baby drain one breast completely at each feeding can help prevent engorgement but is not specifically for managing existing engorgement.
Choice D rationale
Feeding every 3-4 hours may not be frequent enough to prevent engorgement, especially in the early days of breastfeeding.
Correct Answer is A
Explanation
Choice A rationale
Perineal care for a client who just transferred from labor and delivery is within the scope of practice for a certified nursing assistant (CNA). CNAs are trained to provide basic care, such as hygiene and assistance with activities of daily living, to postpartum clients.
Choice B rationale
Monitoring an area of redness on the incision of a Cesarean section client requires clinical assessment skills beyond the scope of a CNA. It involves evaluating the incision for signs of infection or other complications, which is the responsibility of a registered nurse.
Choice C rationale
Providing discharge instructions, such as using a sitz bath, requires teaching and evaluation skills. Registered nurses are responsible for providing education and ensuring client understanding before discharge.
Choice D rationale
Monitoring for signs of pre-eclampsia involves assessment and interpretation of symptoms such as blood pressure, edema, and proteinuria, which are beyond the scope of a CNA. This is a responsibility of a registered nurse.
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