The nurse is caring for a 1-day postpartum client that is breastfeeding a healthy full-term newborn. The client requests a bottle of formula and verbalizes that she does "not have any milk". What is the most appropriate response?

Explain what colostrum is and offer to assist with latch.

Call the physician for a prescription for formula.

Obtain consent from her to use donor breast milk.

Instruct her to burp after the baby eats 1/2 ounce.

Answer and Explanation

The Correct Answer is A

A. Colostrum, the first form of breast milk, is produced in small amounts and is rich in nutrients and antibodies. Many new mothers are unaware of this and need reassurance.
B. Formula is not necessary unless medically indicated or the mother persists after being educated.
C. Donor breast milk is typically reserved for medically fragile infants.
D. Burping after feeding is important but does not address the client’s concern about milk supply.

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Correct Answer is ["2.1"]

Explanation

Step 1: Calculate the desired dose.

50 mg/kg x 4.226 kg = 211.3 mg

Step 2: Calculate the volume to administer.

211.3 mg / 100 mg/mL = 2.1 mL

Therefore, you will administer 2.1 mL of ampicillin.

A. The nurse provides the physician with an iodine solution for cleansing the skin. B. The nurse prepares the sterile field and gathers necessary equipment. C. The nurse provides sucrose and non-nutritive sucking for the infant during the procedure. D. The nurse restrains the baby on the circumcision board.

Correct Answer is C

Explanation

A. Providing iodine solution is a standard task, not advocacy.

B. Preparing equipment is part of procedural support, not advocacy.

C. Providing sucrose and non-nutritive sucking has been shown to reduce procedural pain in neonates, demonstrating advocacy for the infant’s comfort.

D. Restraining is necessary but does not directly advocate for comfort.

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The nurse is caring for a 1-day postpartum client that is breastfeeding a healthy full-term newborn. The client requests a bottle of formula and verbalizes that she does "not have any milk". What is the most appropriate response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2.1"]

Explanation

A nurse is assisting a healthcare provider during an infant's circumcision. Which action by the nurse demonstrates the nurse is acting as the infant's client care advocate?

Correct Answer is C

Explanation

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