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A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48 hr after birth.
Which of the following findings should the nurse report to the provider?

Meconium stools.

Depressed fontanels.

Rust-stained urine.

Overlapping suture lines.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Meconium stools are common in newborns and not a concern in the context of weight loss.

Choice B rationale

Depressed fontanels can indicate dehydration in a newborn, which is critical, especially with significant weight loss.

Choice C rationale

Rust-stained urine is often due to urate crystals and is typical in newborns, not specifically alarming.

Choice D rationale

Overlapping suture lines can be a normal finding in a newborn's head and not indicative of an acute problem relating to weight loss.

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Correct Answer is C

Explanation

Choice A rationale

Feeding from only one breast can lead to engorgement and a decrease in milk supply in the affected breast. It is important to continue breastfeeding from both breasts, even if one is infected.

Choice B rationale

Discarding milk is not necessary and can lead to a decrease in milk supply. The infection does not harm the baby, and breastfeeding helps to drain the breast and clear the infection.

Choice C rationale

Moist heat can help to increase blood flow and promote healing in the affected breast. Applying warm compresses or taking warm showers can help to reduce pain and inflammation associated with mastitis.

Choice D rationale

While staying hydrated is important for overall health, there is no specific requirement to drink at least 1500 milliliters of fluid per day for mastitis. Adequate fluid intake should be maintained, but there is no direct correlation with resolving the infection.

Correct Answer is []

Explanation

The client is most likely experiencing an ectopic pregnancy. Here's why:

Symptoms: The client presents with intermittent vaginal bleeding and dull left lower quadrant abdominal pain, which are common symptoms of an ectopic pregnancy.
Physical Examination: Tenderness upon palpation in the left lower quadrant and an enlarged uterus consistent with 8 weeks of gestation are also indicative of an ectopic pregnancy.

Actions to Take

Perform ultrasound: To confirm the diagnosis and locate the ectopic pregnancy.
Administer IV fluids: To stabilize the client and prepare for potential surgical intervention.

Parameters to Monitor

Vaginal bleeding: To assess the severity and progression of the bleeding.
Blood pressure: To monitor for signs of internal bleeding or hemodynamic instability.

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A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48 hr after birth.Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who is 2 weeks postpartum and has mastitis.Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

Correct Answer is []

Explanation

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A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48 hr after birth.
Which of the following findings should the nurse report to the provider?