A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indication of hunger in newborns? (Select all that apply.)
Consistent crying
Hand-to-mouth movements
Rooting reflex
Sucking motions
The Babinski reflex
Correct Answer : B,C,D
B. Hand-to-mouth movements are an early hunger cue as the newborn tries to self-soothe or indicate readiness to feed.
C. Rooting reflex is a classic early sign where the newborn turns their head toward the stimulus (like a nipple) indicating hunger.
D. Sucking motions suggest the newborn is preparing or ready to feed.
A. Consistent crying is a late hunger cue and can indicate distress if earlier cues are missed.
E. The Babinski reflex is a neurological reflex unrelated to hunger cues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Emptying the bladder is not a priority during an amniotic fluid embolism (AFE) emergency.
B. Oxygen at 2 L/min is insufficient; high-flow oxygen or intubation may be necessary.
C. Fundal massage is used to control bleeding, not to treat AFE.
D. An amniotic fluid embolism can cause sudden cardiovascular collapse and respiratory failure; preparing to initiate cardiopulmonary resuscitation (CPR) is critical for survival.
Correct Answer is C
Explanation
A. Assessing for tachysystole is important, but intervention is needed immediately to improve fetal oxygenation.
B. Internal monitoring may provide more accurate data, but it does not address the immediate fetal distress.
C. The first action should be to reposition the client to a left lateral position to improve uteroplacental blood flow and oxygenation to the fetus.
D. Increasing IV fluids can help with placental perfusion, but positioning is faster and more immediately effective.
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