A newborn is reported to have breastfed very well during the first successful feeding after birth.
The baby is now 4 hours old and has not had a second feeding.
The nurse would:
Advise the mother to stop nursing and offer formula.
Teach the mother to pump her breast.
Advise the mother to discuss this with the newborn's pediatrician.
Teach about newborn sleep and hunger patterns.
The Correct Answer is D
Choice A rationale
It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.
Choice B rationale
Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.
Choice C rationale
Consulting the pediatrician is not immediately necessary for this situation.
Choice D rationale
Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Timing pain medication to avoid affecting the baby is important, but discussing pain management options provides a comprehensive approach.
Choice B rationale
Informing that all medications are found in breast milk can cause unnecessary worry without offering a solution.
Choice C rationale
Allowing the option to avoid pain medication doesn't address the need for effective pain management.
Choice D rationale
Discussing pain management options ensures the mother is aware of safe choices that won't harm breastfeeding.
Correct Answer is C
Explanation
Choice A rationale
While burping is important after feeding to prevent discomfort and regurgitation, it does not directly indicate overall health or hydration status.
Choice B rationale
Frequent loose yellow stools are typical in breastfed infants and indicate proper digestion and nutrition, but do not address overall hydration status directly.
Choice C rationale
Steady weight gain indicates good nutrition and overall health in the infant, reflecting adequate feeding and hydration.
Choice D rationale
Sleeping through the night is not an expectation for newborns, as they typically need frequent feeding due to small stomach capacity and rapid growth needs.
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