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. She did her perineal care independently.

Choice A rationale:

Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.

Choice B rationale:

Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.

Choice C rationale:

Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.

Choice D rationale:

Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.

A. Brownish vaginal discharge. B. Cervical dilation. C. Amniotic fluid in the vaginal vault. D. Report of pain above the umbilicus.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Brownish vaginal discharge can be a sign of labor but it is not definitive.

Choice B rationale:

Cervical dilation is a definitive sign that labor has started.

Choice C rationale:

Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.

Choice D rationale:

Pain above the umbilicus is not a typical sign of labor.

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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 assessing a postpartum woman.Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

Correct Answer is A

Explanation

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.Which of the following findings confirm to the nurse that the client is in labor?.

Correct Answer is B

Explanation

A nurse is caring for a client who gave birth 2 hr ago.The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?.

At what time is the laboring client encouraged to push?

A nurse is teaching about crib safety with the parent of a newborn.Which of the following statements by the client indicates understanding of the teaching?.

A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.Which of the following statements by the client indicates a need for further teaching?

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.