A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make?
“The cause might be too short or infrequent feedings.”
“It is due to the newborn’s loss of the influence of the maternal hormones.”
“This might be related to your baby having 3 stools a day.”
“You might want to offer water supplements between feedings.”
The Correct Answer is A
Choice A reason:
“The cause might be too short or infrequent feedings.”: Newborns typically lose weight in the first few days after birth, which is normal. However, if the weight loss is significant, it could be due to inadequate feeding. Breastfed newborns should be fed 8-12 times in 24 hours to ensure they are getting enough milk. Short or infrequent feedings can lead to insufficient intake, resulting in weight loss2. Ensuring proper latch and feeding techniques can help address this issue.
Choice B reason:
“It is due to the newborn’s loss of the influence of the maternal hormones.”: While maternal hormones do influence the newborn, their loss is not a primary cause of significant weight loss. The initial weight loss is more related to fluid loss and the transition to breastfeeding.
Choice C reason:
“This might be related to your baby having 3 stools a day.”: Frequent stools are common in newborns, especially those who are breastfed. While it can contribute to weight loss, it is usually not the main cause of significant weight loss. Monitoring the baby’s feeding and ensuring they are getting enough milk is more critical.
Choice D reason:
“You might want to offer water supplements between feedings.”: Offering water supplements to a newborn is not recommended, especially for breastfed babies. Breast milk provides all the necessary hydration and nutrients. Introducing water can interfere with breastfeeding and reduce the baby’s intake of breast milk, potentially leading to further weight loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
The primary reason for performing an ultrasound before an amniocentesis is to identify the location of the placenta and fetus. This ensures that the needle used for the procedure can be safely inserted into the amniotic sac without harming the fetus or placenta12. The ultrasound helps guide the healthcare provider to a safe location for the needle insertion, minimizing risks associated with the procedure.
Choice B Reason:
While an ultrasound can be useful for estimating fetal age, this is not the primary reason for performing it before an amniocentesis. The main goal is to ensure the safety of the procedure by accurately locating the fetus and placenta.
Choice C Reason:
An ultrasound is not primarily a screening tool for spina bifida. Although it can help detect certain congenital anomalies, the main purpose of the ultrasound before an amniocentesis is to guide the needle insertion safely.
Choice D Reason:
Determining if there is more than one fetus can be an incidental finding during an ultrasound, but it is not the primary reason for performing the ultrasound before an amniocentesis. The main objective is to ensure the safe placement of the needle by identifying the exact location of the fetus and placenta.
Correct Answer is C
Explanation
Choice A Reason:
It is not typical to see products of conception in vaginal bleeding after a D&C, as the procedure is intended to remove all remaining tissue from the uterus. Post-procedure bleeding should be monitored, but the presence of products of conception would indicate an incomplete procedure.
Choice B Reason:
While a balanced diet is important for recovery, there is no specific recommendation to increase the intake of zinc-rich foods following a D&C. The focus should be on overall nutritional support rather than specific nutrients.
Choice C Reason:
Vaginal intercourse can generally be resumed after 2 weeks, provided there are no complications and the client feels comfortable. This allows time for the cervix to close and reduces the risk of infection.
Choice D Reason:
Aspirin is not recommended for pain relief after a D&C because it can increase the risk of bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are typically recommended instead.
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