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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is D
Explanation
A. Administering oxygen is unnecessary unless central cyanosis (lips and tongue) is present.
B. An isolette may help with thermoregulation, but swaddling is the more immediate action.
C. Pulse oximetry is unnecessary for peripheral cyanosis.
D. Cyanotic hands and feet (acrocyanosis) are normal in the first 24-48 hours after birth due to immature circulation. Keeping the baby warm by swaddling promotes circulation.
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