"How will I know if my baby is getting enough breast milk?"
Your baby should burp after each feeding.
Your baby should wet 6 to 8 diapers per day.
Your baby should sleep at least 6 hours between feedings.
Your baby should have a wake cycle of 30 to 60 minutes after each feeding.
The Correct Answer is B
Choice A reason:
While burping can be a sign that a baby is feeding, it is not a reliable indicator of whether the baby is getting enough breast milk. Burping is a way to release air that babies swallow during feeding, which can help prevent discomfort and gas. However, it does not correlate directly with the amount of milk intake.
Choice B reason:
The number of wet diapers is a direct indicator of a baby's hydration status and, by extension, how much breast milk they are receiving. A newborn who is getting enough milk will typically have 6 to 8 wet diapers per day after the first few days of life. This shows that the baby is well-hydrated and is receiving sufficient milk.
Choice C reason:
Sleep patterns in newborns can vary widely, and sleeping for at least 6 hours between feedings is not typical for a 2-day-old baby. Newborns usually need to feed every 2 to 3 hours, and long stretches of sleep without feeding may indicate that the baby is not getting enough milk and does not have the energy to wake and feed.
Choice D reason:
A wake cycle of 30 to 60 minutes after feeding can be normal for some babies, but it is not a measure of whether they are getting enough milk. The wake cycle can be influenced by many factors, including the baby's overall health, comfort, and environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Dry, cracked skin.
Choice A rationale:
Increased subcutaneous fat is more commonly seen in full-term infants, but post-term infants (born after 42 weeks) often have decreased subcutaneous fat due to the aging placenta’s reduced efficiency in nutrient delivery.
Choice B rationale:
Scant scalp hair is typically seen in preterm infants. Post-term infants usually have more developed features, including more scalp hair.
Choice C rationale:
Dry, cracked skin is a common finding in post-term infants because the protective vernix caseosa, which covers the skin in utero, has often been shed by this stage. The prolonged exposure to amniotic fluid can lead to skin that appears dry, cracked, and peeling.
Choice D rationale:
Copious vernix is usually seen in preterm infants. By 42.5 weeks, most of the vernix has been absorbed or shed, leading to the dry skin observed in post-term infants.
Correct Answer is D
Explanation
Choice A rationale: Vitamin K deficiency in newborns can cause bleeding disorders due to impaired clotting, but it does not cause jaundice. Jaundice is related to bilirubin metabolism, not coagulation pathways.
Choice B rationale: Physiologic jaundice typically appears after 24 hours of life due to immature liver function. Jaundice observed immediately at birth suggests a pathologic cause, not physiologic immaturity.
Choice C rationale: Maternal cocaine abuse may cause neonatal irritability, tremors, or growth restriction, but it is not directly linked to jaundice. Cocaine affects neurobehavioral outcomes, not bilirubin metabolism.
Choice D rationale: Maternal/newborn blood group incompatibility (e.g., ABO or Rh) causes hemolysis of fetal red blood cells, leading to elevated bilirubin levels and jaundice within the first 24 hours—hallmark of pathologic jaundice.
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