A nurse is teaching a new mother about the signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?
Your baby can lose 10% of his birth weight and should return to weight by 7-14 days of age.
Your baby should gain 0.25 oz (7 grams) per day after the fourth day of life.
Expect your baby to have less than 5 wet diapers per day after the fourth day of life.
Expect your baby to feed constantly during the first week of life.
The Correct Answer is A
Choice A rationale:
A newborn can lose up to 10% of their birth weight in the first few days after birth, which is considered normal. By 7-14 days of age, the baby should have regained their birth weight if breastfeeding effectively.
Choice B rationale:
Gaining 0.25 oz (7 grams) per day after the fourth day of life is not a standard guideline for assessing effective breastfeeding.
Choice C rationale:
Expecting the baby to have less than 5 wet diapers per day after the fourth day of life may indicate dehydration or inadequate breastfeeding, which is not a sign of effective breastfeeding.
Choice D rationale:
Expecting the baby to feed constantly during the first week of life is not necessarily an indicator of effective breastfeeding. While frequent feeding is normal in the early days, the baby should be able to effectively feed and show signs of satiety after nursing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Ventricular septal defect (VSD) is a congenital heart defect and is not directly related to respiratory distress syndrome or respiratory acidosis.
Choice B rationale: Cesarean birth, while it can have other implications, is not a direct risk factor for respiratory distress syndrome or respiratory acidosis. The mode of delivery does not directly impact the newborn's respiratory function.
Choice C rationale: While being small for gestational age can be associated with certain health challenges, it is not a direct risk factor for respiratory distress syndrome or respiratory acidosis. The baby's size does not determine its respiratory status.
Choice D rationale: Maternal history of asthma is a risk factor that can predispose the newborn to respiratory difficulties, including respiratory distress syndrome (RDS) and respiratory acidosis. Infants born to mothers with asthma may have a higher likelihood of developing respiratory problems due to potential genetic factors and exposure to environmental triggers during pregnancy.
Correct Answer is A
Explanation
Choice A rationale: This statement indicates that the client understands the teaching about managing hyperemesis gravidarum. Eating crackers before getting out of bed in the morning is a common strategy to help alleviate morning sickness and hyperemesis gravidarum. Eating small, bland, and easily digestible foods before rising from bed can help prevent nausea and vomiting.
Choice B rationale: Drinking water with meals is not a specific strategy for managing hyperemesis gravidarum. In some cases, consuming liquids with meals might worsen nausea in clients with severe morning sickness.
Choice C rationale: Limiting protein intake is not a recommended strategy for managing hyperemesis gravidarum. Adequate protein intake is essential during pregnancy for proper fetal development.
Choice D rationale: Eating every 6 hours might not be sufficient for managing hyperemesis gravidarum. Frequent, small meals and snacks are often recommended to help manage nausea and vomiting in pregnancy.
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