A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.
Which of the following statements by the client indicates a need for further teaching?

"I should keep my baby's head covered.”

"My baby's bassinet should be kept away from fans and air conditioning.”

"My baby's temperature will be checked rectally every hour.”

"I should place my baby on my stomach and cover her with a warm blanket.”

Answer and Explanation

The Correct Answer is C

The correct answer is choice C.

Choice A rationale:

Keeping the baby’s head covered helps to prevent heat loss, as newborns lose a significant amount of heat through their heads.

Choice B rationale:

Keeping the baby’s bassinet away from fans and air conditioning helps to maintain a stable body temperature.

Choice C rationale:

Newborns’ temperatures are typically checked every 3 to 4 hours, not every hour, and are usually done axillary, not rectally.

Choice D rationale:

Placing the baby on the mother’s stomach and covering her with a warm blanket promotes skin-to-skin contact and helps to maintain the baby’s body temperature.

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Correct Answer is D

Explanation

The correct answer is choice D. Chronic alcohol use.

Choice A rationale:

Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.

Choice B rationale:

Chronic cocaine use during pregnancy can lead to premature birth and low birth weight, but it does not typically result in the specific symptoms described.

Choice C rationale:

Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.

Choice D rationale:

Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.

A. There is a loss of 5% to 10% of the birth weight in the first few days in breastfed infants only. B. There is an increase in 3% to 5% of birth weight by day 3 in formula-fed babies. C. There is a loss of 5% to 10% of birth weight in formula-fed and breastfed newborns. D. A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.

Choice B rationale:

Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.

Choice C rationale:

Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.

Choice D rationale:

While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.

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A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

What should the nurse expect for a full-term newborn's weight during the first few days of life?.

Correct Answer is C

Explanation

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A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.
Which of the following statements by the client indicates a need for further teaching?