A nurse is reviewing laboratory results for a newborn who is breastfed.
Which of the following findings indicates adequate nutrition?
Hemoglobin level of 11 g/dL
Serum calcium level of 8 mg/dL
Serum bilirubin level of 15 mg/dL
Serum sodium level of 130 mEq/L
The Correct Answer is A
Hemoglobin level of 11 g/dL. This is within the normal range for a newborn, which is 13.4-19.9 g/dL for the first month.
Hemoglobin is the oxygen-carrying protein in red blood cells.
Choice B is wrong because serum calcium level of 8 mg/dL is below the normal range for a newborn, which is 8.5-10.6 mg/dL for the first month.
Calcium is important for bone health and muscle function.
Choice C is wrong because serum bilirubin level of 15 mg/dL is above the normal range for a newborn, which is less than 12 mg/dL for the first week.
Bilirubin is a waste product from the breakdown of red blood cells.
High levels can cause jaundice, a yellowing of the skin and eyes.
Choice D is wrong because serum sodium level of 130 mEq/L is below the normal range for a newborn, which is 135-145 mEq/L.
Sodium is an electrolyte that helps regulate fluid balance and nerve impulses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should suggest all of these strategies to help the mother maintain her milk supply when she returns to work or school.
Choice A is correct because pumping or expressing milk at least every 3 to 4 hours during work or school hours stimulates the production of prolactin, the hormone that regulates milk synthesis.
Choice B is correct because storing milk in clean glass or plastic containers with tight-fitting lids in a refrigerator or freezer preserves the quality and safety of the milk.
Choice C is correct because labeling milk containers with the date and time of expression and using them in order of oldest to newest ensures that the milk is used before it spoils.
Choice D is correct because it includes all of the above strategies.
Correct Answer is ["A","B"]
Explanation
The nurse should assess for proper latch-on technique and encourage skin-to-skin contact between mother and infant.
These actions promote successful breastfeeding and bonding.
Choice C is wrong because limiting feeding time to 10 min per breast can interfere with the infant’s intake of hindmilk, which is rich in fat and calories.The infant should be allowed to nurse until satisfied, which may take longer than 10 min per breast.
Choice D is wrong because instructing the client to offer both breasts at each feeding can lead to nipple soreness and engorgement.The client should offer one breast until it is emptied, then switch to the other breast if the infant is still hungry.
Choice E is wrong because advising the client to feed the infant every 2 to 3 hr can disrupt the infant’s natural feeding cues and rhythms.The client should feed the infant on demand, which may be more or less frequent than every 2 to 3 hr.
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