A nurse is planning care for a 4-hour-old newborn born to a client who has a prenatal history of substance use disorder. Which of the following interventions should the nurse include in the plan of care?

Choice A rationale

Breastfeeding a newborn 6-8 times a day is insufficient. Newborns typically need more frequent feedings to ensure adequate nutrition and growth, generally more than 8 times.

Choice B rationale

Newborns should be breastfed 8-12 times in a 24-hour period. This frequent feeding ensures they receive enough nutrients, helps establish milk supply, and supports healthy growth.

Choice C rationale

Feeding 10-14 times a day can be appropriate for some newborns but may not be necessary for all. The standard recommendation is 8-12 times, balancing nourishment and mother's comfort.

Choice D rationale

Breastfeeding 12-16 times a day is excessive and may cause maternal fatigue and discomfort. The general guideline of 8-12 times is sufficient to meet a newborn's nutritional needs.

Choice A rationale

While taking antipsychotics is important, the nurse’s immediate priority should be to assess for harm to the patient or infant, which poses an immediate danger.

Choice B rationale

Monitoring the infant’s health is important but secondary to ensuring the patient and infant's immediate safety from potential harm due to psychosis.

Choice C rationale

Assessing thoughts of harm is crucial in postpartum psychosis as it helps in identifying immediate risks to the patient and infant, allowing for timely interventions.

Choice D rationale

Reviewing the medical record for bipolar disorder is important for treatment planning but not as immediately critical as assessing for thoughts of harm.