A nurse is caring for a newborn who was born at 39 weeks gestation and weighs 3350 g. Based on the weight and gestational age, what is the most appropriate way to document the findings?

Small for gestational age (SGA).

Appropriate (average) for gestational age (AGA).

Low birth weight.

Large for gestational age (LGA).

Answer and Explanation

The Correct Answer is B

Choice A rationale

Small for gestational age (SGA) refers to newborns whose birth weight is below the 10th percentile for their gestational age.

Choice B rationale

Appropriate for gestational age (AGA) refers to newborns whose birth weight is between the 10th and 90th percentiles for their gestational age. A newborn weighing 3350 g at 39 weeks gestation falls within this range.

Choice C rationale

Low birth weight is defined as a birth weight of less than 2500 g, which does not apply to this newborn.

Choice D rationale

Large for gestational age (LGA) refers to newborns whose birth weight is above the 90th percentile for their gestational age.

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Correct Answer is D

Explanation

Choice A rationale

Stretching arms out and then back in is a common reflex in newborns known as the Moro reflex. It is not a sign of feeding readiness but rather a response to a sudden loss of support or a loud noise.

Choice B rationale

Turning the head toward a parent’s voice is a sign of auditory recognition and bonding, not necessarily feeding readiness. It indicates the infant’s ability to recognize familiar sounds.

Choice C rationale

Grasping a parent’s finger when placed in the infant’s palm is a primitive reflex known as the palmar grasp reflex. It is not related to feeding readiness but is a normal reflexive action in newborns.

Choice D rationale

Bringing their hand to their mouth is a sign of feeding readiness. This action indicates that the infant is hungry and ready to feed. It is an early cue that the baby is ready to eat.

A. Bottles can be put in the dishwasher, boiled, or cleaned with hot soapy water. B. Hold the baby in a supine position during feedings. C. Only burp the baby after they have finished the entire feeding. D. Do not prop the bottle. E. Keep the nipple full of formula throughout the feeding. F. Prepared formula can be kept in the refrigerator for 48 hours.

Correct Answer is ["A","D","E","F"]

Explanation

Choice A rationale

Bottles can be put in the dishwasher, boiled, or cleaned with hot soapy water to ensure they are thoroughly sanitized and safe for the infant.

Choice B rationale

Holding the baby in a supine position during feedings is incorrect because it increases the risk of aspiration. The baby should be held in a semi-upright position.

Choice C rationale

Only burping the baby after they have finished the entire feeding is incorrect because it can lead to discomfort and gas buildup. The baby should be burped during and after feedings.

Choice D rationale

Always holding the bottle while feeding and not propping the bottle is correct as it prevents choking and ensures the baby is feeding safely.

Choice E rationale

Keeping the nipple full of formula throughout the feeding is correct as it prevents the baby from swallowing air, which can cause gas and discomfort.

Choice F rationale

Prepared formula can be kept in the refrigerator for 48 hours, ensuring it remains safe and free from bacterial growth.

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A nurse is caring for a newborn who was born at 39 weeks gestation and weighs 3350 g. Based on the weight and gestational age, what is the most appropriate way to document the findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing newborn nutrition education to new parents.The nurse will include which of the following as a sign (cue) of feeding readiness?

Correct Answer is D

Explanation

A nurse is providing discharge instructions for newborn care.The parents have chosen to formula feed their infant.What should the nurse include in the discharge teaching about bottle feeding? (Select all that apply)

Correct Answer is ["A","D","E","F"]

Explanation

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