A full-term newborn weighs 3600 grams at birth. What would the nurse expect the newborn to weigh in grams 3 days later?
3800
3300
2900
3100
The Correct Answer is B
A. 3800: A weight increase of 200 grams within the first few days is unlikely, as most newborns experience initial weight loss rather than gain. Early weight gain typically occurs after the first week as feeding becomes established.
B. 3300: It is expected for a full-term newborn to lose approximately 5–10% of birth weight in the first 3–5 days. For a 3600-gram newborn, a 300-gram loss (approximately 8%) results in a weight around 3300 grams, which aligns with normal physiologic weight loss.
C. 2900: A weight of 2900 grams represents a loss of over 19%, which exceeds normal physiologic limits and may indicate feeding issues, dehydration, or illness requiring intervention.
D. 3100: A loss of 500 grams is greater than typical for the first few days. While some variation exists, this would be considered higher than expected for a healthy full-term newborn and may warrant assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fundus soft, 1 cm to the right of the umbilicus: A soft (boggy) fundus indicates uterine atony, which increases the risk of postpartum hemorrhage. Deviation to the right often suggests a full bladder, requiring assessment and intervention rather than being an expected finding.
B. Fundus firm, at the level of the umbilicus: At 12 hours postpartum, it is expected for the uterus to be firm and approximately at the level of the umbilicus. A firm fundus indicates effective uterine contraction, which helps prevent excessive bleeding and supports normal involution.
C. Fundus soft, 2 cm above the umbilicus: A soft, elevated fundus may signal uterine atony or retained placental fragments. This finding is abnormal and requires immediate nursing assessment and intervention to prevent hemorrhage.
D. Fundus present, to the left of the umbilicus: Lateral displacement of the fundus, whether left or right, is often related to bladder distention and is not considered a normal postpartum finding. Assessment and bladder emptying are necessary.
Correct Answer is ["A","B","C","E"]
Explanation
A. Sucking: The sucking reflex is present at birth and allows the infant to feed effectively. It is a primitive reflex critical for survival and typically disappears around 4 months of age as voluntary feeding develops.
B. Blinking: The blinking reflex is a protective response to bright light or sudden stimuli. It is present at birth and helps protect the infant’s eyes from injury or excessive light exposure.
C. Gagging: The gag reflex is present at birth to prevent aspiration. It triggers a protective response when the back of the throat is stimulated, helping maintain airway safety during feeding.
D. Pincer grasping: The pincer grasp develops around 8 to 9 months of age. It involves coordinated thumb and forefinger movement and is not present in full-term newborns.
E. Sneezing: Sneezing is a protective reflex present at birth that helps clear the nasal passages. It assists the infant in maintaining clear airways and effective breathing immediately after birth.
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