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 A
Explanation
Choice A rationale
Breast milk typically "comes in" within 3 to 5 days postpartum due to hormonal changes, particularly the increase in prolactin and decrease in progesterone.
Choice B rationale
Breast milk usually does not come in within 2 days postpartum because the hormonal changes required take a bit more time to occur.
Choice C rationale
Breast milk coming in around 10 days postpartum is later than usual and may indicate a delay or complication in lactation.
Choice D rationale
Breast milk coming in 6 to 8 days postpartum is somewhat later than the typical 3 to 5 day range, potentially indicating a minor delay in lactation.
Correct Answer is C
Explanation
Choice A rationale
The Moro reflex is a startle response in newborns and does not assist in promoting latching during breastfeeding.
Choice B rationale
The stepping reflex, also known as the walking reflex, involves a newborn making stepping movements when held upright and does not contribute to latching during breastfeeding.
Choice C rationale
The rooting reflex causes a newborn to turn their head toward a touch on their cheek and begin sucking movements, which is crucial for promoting latching during breastfeeding.
Choice D rationale
The Babinski reflex involves the toes fanning out when the sole of the foot is stroked and is unrelated to latching during breastfeeding. .
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