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?

The infant stretches their arms out and then back in toward their body.

The infant turns their head toward their parent’s voice.

The infant grasps the parent’s finger when placed in the infant’s palm.

The infant brings their hand to their mouth.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is C

Explanation

Choice A rationale

Monitoring blood glucose levels frequently is important for newborns, especially those at risk for hypoglycemia. However, it does not directly prevent jaundice. Jaundice is caused by elevated bilirubin levels, which are not directly related to blood glucose levels.

Choice B rationale

Beginning phototherapy immediately is a treatment for jaundice, not a preventive measure. Phototherapy is used to reduce high bilirubin levels in newborns who already have jaundice.

Choice C rationale

Initiating early feeding is an effective way to prevent jaundice in newborns. Early feeding helps promote regular bowel movements, which aids in the excretion of bilirubin from the body, thereby reducing the risk of jaundice.

Choice D rationale

Preparing for a blood transfusion is a treatment for severe jaundice, not a preventive measure. Blood transfusions are used in cases of extreme hyperbilirubinemia that do not respond to other treatments.

A. Sucking on their fingers. B. Smacking their lips. C. Extending their tongue. D. Crying. E. Rooting.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale

Sucking on their fingers is an early hunger cue in infants. It indicates that the baby is ready to feed.

Choice B rationale

Smacking their lips is another early hunger cue. It shows that the baby is thinking about feeding.

Choice C rationale

Extending their tongue is also an early hunger cue. It indicates that the baby is ready to latch onto the breast or bottle.

Choice D rationale

Crying is a late hunger cue. It is better to feed the baby before they start crying to make feeding easier.

Choice E rationale

Rooting is an early hunger cue. It involves the baby turning their head towards the breast or bottle, indicating they are ready to feed. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn 4 hours after birth.Which of the following actions should the nurse include in the plan of care to prevent jaundice?

Correct Answer is C

Explanation

The nurse is preparing to teach the postpartum mom about newborn feeding cues.Which of the following behaviors of the infant would be considered early hunger cues? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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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?