What should the nurse expect for a full-term newborn's weight during the first few days of life?.

There is a loss of 5% to 10% of the birth weight in the first few days in breastfed infants only.

There is an increase in 3% to 5% of birth weight by day 3 in formula-fed babies.

There is a loss of 5% to 10% of birth weight in formula-fed and breastfed newborns.

A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C.

Choice A rationale:

While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.

Choice B rationale:

Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.

Choice C rationale:

Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.

Choice D rationale:

While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.

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Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.

Choice B rationale:

A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.

Choice C rationale:

A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.

Choice D rationale:

While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.

A. Notify the client's provider. B. Increase the frequency of fundal massage. C. Document the findings and continue to monitor the client. D. Encourage the client to empty her bladder.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Notifying the provider is not necessary in this case as the findings are normal for a client who is 1 hour postpartum.

Choice B rationale:

Increasing the frequency of fundal massage is not necessary as the fundus is firm and at the umbilicus.

Choice C rationale:

The findings are normal for a client who is 1 hour postpartum. The nurse should document the findings and continue to monitor the client. Therefore, this choice is correct.

Choice D rationale:

Encouraging the client to empty her bladder is not necessary in this case as the fundus is midline.

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What should the nurse expect for a full-term newborn's weight during the first few days of life?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.

Correct Answer is A

Explanation

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad.The fundus is midline and firm at the umbilicus.Which of the following actions should the nurse take?.

Correct Answer is C

Explanation

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