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

Not all STIs are transmitted during delivery. For example, infections like trichomoniasis are not typically transmitted during birth, whereas others like herpes simplex virus can be.

Choice B rationale

Some STIs, such as herpes and HIV, can be transmitted during vaginal delivery, posing a risk to the newborn. Preventative measures, including antiviral treatment, can reduce this risk.

Choice C rationale

A cesarean section is not always required to prevent STI transmission. It is recommended in cases of active genital herpes or uncontrolled HIV to reduce transmission risk.

Choice D rationale

Some STIs, such as HIV, can be transmitted through breastfeeding. It is important to follow medical guidelines to prevent postnatal transmission via breast milk.