A nurse is reinforcing teaching about formula feeding to a group of parents of newborns.
Which of the following statements by one of the parents indicates a need for further teaching?
"I will burp my baby halfway through each feeding."
"I will watch for signs my baby is full and stop the feeding."
"I will ensure my baby's feedings last 10 to 15 minutes."
"I will give formula to my baby at room temperature."
The Correct Answer is C
Choice A rationale: This statement is correct. Burping the baby halfway through each feeding can help release air and prevent discomfort from gas build-up.
Choice B rationale: This statement is correct. It is essential to watch for signs of satiety in the baby, such as slowing down sucking, turning away from the bottle, or becoming relaxed.
Stopping the feeding when the baby is full helps prevent overfeeding.
Choice C rationale: This statement indicates a need for further teaching. The duration of feeding can vary for different babies, and it is not advisable to limit the feeding time to a specific duration like 10 to 15 minutes. Babies have different feeding patterns and may take longer or shorter periods to finish a feeding. It is essential to allow the baby to feed until they are full and satisfied.
Choice D rationale: This statement is correct. It is safe and appropriate to give formula to the baby at room temperature, or it can be warmed if the baby prefers it that way. However, never heat the formula in the microwave as it can create hot spots that may burn the baby's mouth. Instead, warm the formula by placing the bottle in a bowl of warm water. Always test the temperature on the inside of your wrist before feeding the baby to ensure it's not too hot.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: This response assumes that the couple's religious beliefs are relevant to them, which may not be the case. It is not appropriate for the nurse to suggest involving their minister without knowing their preferences or beliefs.
Choice B rationale: This response acknowledges the couple's emotional experience and shows empathy toward their grief. It offers support and reassurance that the nurse will be available to help them through this difficult time.
Choice C rationale: While this statement may be factually true, it is not empathetic or supportive of the couple's current emotional state. It may come across as dismissive of their feelings and minimize their grief.
Choice D rationale: While gathering information about the pregnancy is essential for the medical record, this question does not address the couple's emotional needs. It is more appropriate to focus on offering emotional support and assistance rather than immediately delving into clinical details.
Correct Answer is C
Explanation
Choice A rationale:
Elevating the client's legs is not the first action to address late decelerations. Positioning the client on her side is the priority intervention.
Choice B rationale:
Administering oxygen via a face mask is an appropriate intervention for late decelerations, but it is not the first action. Positioning the client on her side is the priority.
Choice C rationale:
Positioning the client on her side can relieve pressure on the vena cava and improve fetal oxygenation, which is crucial in managing late decelerations.
Choice D rationale:
Increasing the infusion rate of the IV fluid may not directly address the cause of late decelerations and is not the first action to take in this situation.
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