A nurse is reinforcing teaching with a mother who is bottle feeding her newborn with formula. Which of the following statements should the nurse include in the teaching?
"Each feeding should last between 20 and 30 minutes."
"Refrigerate formula from a feeding for up to 4 hours for reuse."
"Prepared formula can be stored in the refrigerator for up to 2 days."
"Wait until the end of the feeding to burp your baby."
None
None
The Correct Answer is A
A. Feeding sessions typically last 20 to 30 minutes, allowing the newborn to feed at a comfortable pace and promoting bonding.
B. Formula remaining in the bottle after feeding should be discarded because bacteria from the infant’s mouth can contaminate it; it should not be refrigerated for reuse.
C. Prepared formula can be safely stored in the refrigerator for up to 48 hours only if it has not been fed to the infant; however, once offered, it must be discarded after the feeding.
D. The newborn should be burped periodically during the feeding, such as halfway through and at the end, to reduce swallowed air and discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A glucose level of 60 mg/dL is within the normal range for a full-term newborn. Newborns generally have blood glucose levels between 40 and 60 mg/dL in the first few hours of life, and 60 mg/dL is considered acceptable for a 1-day-old newborn.
B. A WBC count of 10,000/mm³ is within the normal range for a newborn. Newborns can have elevated WBC counts due to the stress of birth, and this finding is not immediately concerning.
C. A platelet count of 225,000/mm³ is normal for a full-term newborn. Platelet counts in newborns generally range from 150,000 to 300,000/mm³, so this result falls within the expected range.
D. A hemoglobin level of 9.5 g/dL is low for a 1-day-old newborn. Normal hemoglobin levels for newborns are typically between 14 and 24 g/dL. Low hemoglobin may indicate anemia, which requires further evaluation and management.
Correct Answer is C
Explanation
A. The deltoid muscle is not recommended for newborns; the vastus lateralis is the preferred site for intramuscular injections.
B. A 25-gauge needle is an appropriate size for newborn injections, but needle choice alone is not the priority action for this specific medication administration.
C. Phytonadione (Vitamin K) is typically administered within the first 6 to 12 hours after birth, allowing time for initial stabilization and bonding before injection, while still preventing vitamin K deficiency bleeding.
D. The mother’s Rh factor is unrelated to vitamin K administration; it is only assessed when considering the need for Rho(D) immune globulin.
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