A nurse is reinforcing discharge teaching with a client who is 2 days postpartum. Which of the following statements should the nurse include in the teaching?
You should feed your newborn formula every 2 hours.
You should breastfeed your newborn five to seven times each day.
If you give formula to your newborn, expect at least one stool every 3 days.
If you breastfeed your newborn, expect two to three stools per day.
The Correct Answer is D
Choice A reason: This statement is false. Feeding a newborn formula every 2 hours is not necessary or recommended. Formula-fed newborns typically feed every 3 to 4 hours, as formula takes longer to digest than breast milk. Feeding too frequently can cause overfeeding, spitting up, or abdominal discomfort.
Choice B reason: This statement is false. Breastfeeding a newborn five to seven times each day is not enough to meet the newborn's nutritional and developmental needs. Breastfed newborns typically feed eight to 12 times in 24 hours, as breast milk is easily digested and the newborn's stomach is small. Feeding less frequently can cause insufficient weight gain, dehydration, or low milk supply.
Choice C reason: This statement is false. Expecting at least one stool every 3 days for a formula-fed newborn is not normal or healthy. Formula-fed newborns typically have one or more stools per day, as formula contains more waste products than breast milk. Having fewer stools can indicate constipation, dehydration, or intestinal obstruction.
Choice D reason: This statement is true. Expecting two to three stools per day for a breastfed newborn is normal and healthy. Breastfed newborns typically have soft, yellow, seedy st
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement is false. Retinopathy is a condition that affects the blood vessels of the retina and can cause vision loss. It is more common in newborns who are large for gestational age (LGA) or have diabetes mellitus. It is not related to being SGA.
Choice B reason: This statement is false. Decreased circulating RBC is a condition that causes anemia and low oxygen levels. It is more common in newborns who have hemolytic disease, blood loss, or infection. It is not related to being SGA.
Choice C reason: This statement is false. A well rounded abdomen is a normal finding in a healthy newborn. It is not a sign of being SGA. In fact, a newborn who is SGA may have a scaphoid or sunken abdomen due to the lack of subcutaneous fat and muscle.
Choice D reason: This statement is true. Blood glucose instability is a condition that causes hypoglycemia or low blood sugar levels. It is more common in newborns who are SGA, as they have less glycogen stores and increased metabolic demands. It can cause jitteriness, lethargy, poor feeding, or seizures.
Correct Answer is B
Explanation
Choice A reason: This statement is false. Calcium is an important nutrient for the development of the fetal bones and teeth, but the recommended intake for pregnant women is the same as for non-pregnant women, which is 1000 mg per day. The fetus can obtain enough calcium from the mother's diet or bones without increasing the maternal need.
Choice B reason: This statement is true. Iron is an essential nutrient for the production of hemoglobin, which carries oxygen to the tissues. The recommended intake for pregnant women is higher than for non-pregnant women, which is 27 mg per day. This is because the mother needs more iron to support the increased blood volume, the placenta, and the fetus.
Choice C reason: This statement is false. Vitamin E is an antioxidant that protects the cells from damage, but the recommended intake for pregnant women is the same as for non-pregnant women, which is 15 mg per day. There is no evidence that increasing vitamin E intake during pregnancy has any benefits or harms.
Choice D reason: This statement is false. Vitamin D is a hormone that helps the body absorb calcium and phosphorus, but the recommended intake for pregnant women is the same as for non-pregnant women, which is 15 mcg per day. Vitamin D deficiency can cause rickets in the fetus, but this is rare in developed countries.
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