A nurse is teaching about nutrition guidelines to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

"I should wait to begin fluoride supplements until my baby is 4 months of age."

"I should introduce cow's milk when my baby is 9 months old."

"I should wait to give fruit juice until my baby is 6 months of age."

"I should start solid foods when my baby is 3 months old."

Answer and Explanation

The Correct Answer is C

Choice A reason:
Introducing fluoride supplements to a newborn is not typically recommended until the age of 6 months, unless advised by a healthcare provider due to specific water supply conditions. The American Academy of Pediatrics (AAP) suggests that fluoride supplementation should begin at 6 months if the water supply is deficient in fluoride.

Choice B reason:
Cow's milk is not recommended for infants under the age of 1 year. Introducing cow's milk before this age can lead to iron deficiency and potentially cause harm to the infant's developing kidneys. It also lacks the proper nutrients that infants require, which are found in breast milk or formula.

Choice C reason:
The AAP recommends that fruit juice should not be introduced to infants before 6 months of age. Before this age, babies should only be fed breast milk or formula. Introducing fruit juice too early can contribute to excessive weight gain and tooth decay.

Choice D reason:
The introduction of solid foods is recommended to start at around 6 months of age. Starting solid foods at 3 months is too early and can increase the risk of choking and may lead to the development of food allergies.

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Correct Answer is B

Explanation

Choice A reason:
Suctioning excess mucus with a bulb syringe is a standard procedure to clear the airways of a newborn and facilitate breathing. While it is an important aspect of initial newborn care, it does not directly prevent jaundice. Jaundice is caused by high levels of bilirubin in the blood, and suctioning mucus does not influence bilirubin levels.

Choice B reason:
Initiating early feeding, whether breastfeeding or formula feeding, is recommended to prevent jaundice. Early feeding helps stimulate bowel movements, which aids in the excretion of bilirubin through the stool. Breastfed babies should be fed eight to twelve times a day during their first week of life, and formula-fed babies should receive one to two ounces (30 to 60 milliliters) of formula every two to three hours during their first week. This frequent feeding schedule helps ensure that bilirubin does not build up to high levels in the newborn's system.

Choice C reason:
Preparing for an exchange blood transfusion is a treatment measure for severe jaundice, not a preventive action. This procedure is only considered when bilirubin levels are dangerously high and could potentially cause brain damage. It is not a standard preventive measure for jaundice in newborns.

Choice D reason:
Beginning phototherapy is a treatment method for newborns who have already developed jaundice, not a preventive measure. Phototherapy uses light to break down bilirubin in the skin, making it easier for the baby's body to eliminate it. While effective in treating jaundice, it is not used as a preventive action.
Question 65

A. Amniotic fluid volume B. Fetal breathing C. Fetal motion D. Fetal neck translucency E. Fetal gender

Correct Answer is ["A","B","C"]

Explanation

Choice A reason:
Amniotic fluid volume is one of the components evaluated during a biophysical profile. It is assessed because adequate amniotic fluid is essential for fetal development and can indicate the health of the pregnancy. A normal amniotic fluid volume suggests that the fetus's kidneys are functioning well and that there is no leakage or rupture of membrane.

Choice B reason:
Fetal breathing is another key component of the biophysical profile. The presence of fetal breathing movements is a positive sign, indicating that the central nervous system is functioning and the fetus is getting enough oxygen.

Choice C reason:
Fetal motion is also assessed during a biophysical profile. Multiple discrete body or limb movements within a certain time frame are considered normal and indicate good fetal health and activity levels.

Choice D reason:
Fetal neck translucency is not evaluated in a biophysical profile. This measurement is typically assessed during the first trimester as part of screening for chromosomal abnormalities, not as a part of the biophysical profile.

Choice E reason:
Fetal gender is not a component of the biophysical profile. The biophysical profile focuses on the well-being of the fetus rather than determining its sex.

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A nurse is teaching about nutrition guidelines to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn 4 hours after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?

Correct Answer is B

Explanation

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. The nurse should include the following:

Correct Answer is ["A","B","C"]

Explanation

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