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
Breastfeeding provides optimal nutrition and immunological protection for infants.This is because breastmilk contains all the energy and nutrients that the infant needs for the first six months of life, and it also contains antibodies that help protect against many common childhood illnesses.
Choice A is wrong because breastfeeding reduces the risk of infections, allergies, and chronic diseases in infants and children, but this is not the only benefit of breastfeeding.Breastfeeding also has benefits for mothers, such as reducing the risk of breast and ovarian cancers.
Choice B is wrong because breastfeeding enhances maternal-infant bonding and attachment, but this is not the only benefit of breastfeeding.Breastfeeding also has benefits for the environment, such as reducing waste and greenhouse gas emissions.
Choice C is wrong because breastfeeding helps mothers lose weight and prevent postpartum hemorrhage, but this is not the only benefit of breastfeeding.Breastfeeding also has benefits for society, such as reducing health care costs and improving productivity.
Correct Answer is A
Explanation
Breasts are soft without engorgement or leakage.This indicates that lactation suppression has been successful and the woman is not experiencing any discomfort or risk of infection from milk accumulation.
Breasts are firm with mild tenderness or leakage is wrong because it suggests that lactation is still occurring and the woman may need to express some milk for comfort or use other non-pharmacological methods to suppress it.
Breasts are hard with moderate pain or leakage is wrong because it indicates that the woman is suffering from breast engorgement, which can lead to mastitis if not treated.The woman may need pharmacological intervention to suppress lactation and relieve pain.
Breasts are swollen with severe pain or leakage is wrong because it shows that the woman has developed mastitis, which is a bacterial infection of the breast tissue that requires antibiotics and analgesics.The woman may also need to drain the infected breast by expressing milk or using a pump.
Normal ranges for lactation suppression vary depending on the individual and the method used.Generally, lactation suppression can take from a few days to a few weeks.
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