Parents who have not already done so need to make time for newborn follow-up of the discharge. According to the American Academy of Pediatrics (AAP), when should a breastfeeding infant first need to be seen for a follow-up examination?

7 to 10 days after childbirth

2 weeks of age

4 to 5 days after hospital discharge

48 to 72 hours after hospital discharge

Answer and Explanation

The Correct Answer is D

A. 7 to 10 days after childbirth: This time frame is too delayed for the first follow-up of a breastfeeding infant. Early post-discharge visits are essential to assess feeding adequacy, hydration, and weight changes, all of which are critical within the first few days of life.

B. 2 weeks of age: Waiting until 2 weeks may miss early signs of complications such as dehydration, excessive weight loss, or jaundice. While a 2-week visit is often part of routine pediatric care, it is not soon enough for initial post-discharge evaluation.

C. 4 to 5 days after hospital discharge: Although closer to the recommended window, this range still allows for too much variability and may delay necessary interventions. Earlier evaluation is especially important for breastfeeding infants who may have feeding difficulties or poor weight gain.

D. 48 to 72 hours after hospital discharge: The AAP recommends that all breastfed infants be seen by a healthcare provider within this window to evaluate feeding effectiveness, monitor for jaundice, and assess overall well-being. This timing allows for prompt identification of early neonatal issues while supporting successful breastfeeding.

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Correct Answer is C

Explanation

A. Fundus soft, 2 cm above the umbilicus: A soft (boggy) fundus is an abnormal finding and suggests uterine atony, which can lead to postpartum hemorrhage. At 12 hours postpartum, the fundus may be at or slightly above the umbilicus, but it should be firm. A soft uterus requires immediate intervention such as fundal massage.

B. Fundus soft, 1 cm to the right of the umbilicus: Deviation of the uterus to the right side often indicates a full bladder, which can impede uterine contraction and increase the risk of hemorrhage. A soft and displaced fundus at 12 hours postpartum is concerning and not expected.

C. Fundus firm, at the level of the umbilicus: This is the expected and normal finding 12 hours postpartum. The uterus should be firm to ensure effective involution and to prevent hemorrhage. It typically remains at the level of the umbilicus or slightly above before beginning its descent into the pelvis over the next several days.

D. Fundus present, to the left of the umbilicus: Similar to right deviation, leftward displacement may suggest bladder distention or other structural influences. The fundus should remain midline and firm. Any lateral deviation is a cue for the nurse to assess bladder status and encourage voiding.

A. Take the newborn for a ride in the car. B. Carry the newborn in a front or back pack. C. Keep the newborn in the center of a large crib. D. Swaddle the newborn in a receiving blanket. E. Allow the newborn to continue crying.

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

Explanation

A. Take the newborn for a ride in the car: Some newborns are soothed by motion, and a ride in the car may help calm a fussy baby. This is a common and often effective strategy for managing persistent crying.

B. Carry the newborn in a front or back pack: Carrying the newborn in a front or back pack provides comfort through closeness, security, and movement, often calming the baby. This strategy can be beneficial for soothing a crying baby.

C. Keep the newborn in the center of a large crib: While ensuring the baby’s safety, placing a newborn in a large crib may not help with soothing crying. Babies often prefer a sense of containment and comfort, which is less likely in a spacious crib.

D. Swaddle the newborn in a receiving blanket: Swaddling provides warmth and security, mimicking the snug environment of the womb. This technique can help calm a crying newborn by offering comfort and a sense of safety.

E. Allow the newborn to continue crying: Allowing a newborn to cry without attempting soothing measures is not typically recommended. Prolonged crying can increase stress for both the infant and the parents and may not address the underlying need or discomfort.

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Parents who have not already done so need to make time for newborn follow-up of the discharge. According to the American Academy of Pediatrics (AAP), when should a breastfeeding infant first need to be seen for a follow-up examination?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse in a pediatric clinic is caring for a client who is postpartum and asks the nurse what to do when her newborn cries persistently. Which of the following strategies should the nurse suggest? (Select all that apply.)

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

Explanation

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