A mother is concerned about her 3-day-old breastfeeding newborn whose birth weight was 2678g and is now 2505g. What is the most appropriate response by the nurse?

Explain that this is an acceptable weight loss for this time.

Notify the healthcare provider of excessive weight loss.

Take the infant to the intensive care unit for an intravenous line.

Advise the mother to supplement each breastfeeding with formula.

Answer and Explanation

The Correct Answer is A

A. It is normal for newborns to lose up to 10% of their birth weight in the first few days. This weight loss is primarily due to fluid shifts and will resolve with regular breastfeeding.

B. Weight loss in this range is not excessive and does not require immediate intervention.

C. There is no indication for intensive care based on this weight loss alone.

D. Supplementing with formula is not necessary unless weight loss exceeds 10% or breastfeeding is inadequate.

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Correct Answer is A

Explanation

A. Colostrum, the first form of breast milk, is produced in small amounts and is rich in nutrients and antibodies. Many new mothers are unaware of this and need reassurance.
B. Formula is not necessary unless medically indicated or the mother persists after being educated.
C. Donor breast milk is typically reserved for medically fragile infants.
D. Burping after feeding is important but does not address the client’s concern about milk supply.

A. Copious vernix B. Increased subcutaneous fat C. Dry, cracked skin D. Scant scalp hair

Correct Answer is C

Explanation

A. Post-term infants typically have decreased vernix.
B. Post-term infants may have reduced subcutaneous fat, not increased.
C. Post-term infants (>42 weeks) often have dry, cracked, peeling skin due to reduced vernix and prolonged exposure to amniotic fluid.
D. Post-term infants usually have abundant scalp hair.

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A mother is concerned about her 3-day-old breastfeeding newborn whose birth weight was 2678g and is now 2505g. What is the most appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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