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 C

Explanation

A. No bowel movement within 12 hours: While concerning, delayed stooling can occur in preterm infants and is not as urgent without additional symptoms like distension or bilious vomiting.
B. Small regurgitation of formula: Regurgitation is a common finding in preterm infants and typically not alarming unless persistent or associated with other symptoms like aspiration.
C. Abdominal distension: This finding may indicate necrotizing enterocolitis (NEC) or an obstruction, both of which are serious conditions requiring prompt medical attention.
D. Uncoordinated suck: This is expected in preterm infants due to immaturity and does not require immediate reporting.

Correct Answer is ["4252.5"]

Explanation

First, we need to convert 9 pounds to ounces. There are 16 ounces in a pound, so:

9 pounds * 16 ounces/pound = 144 ounces

Now, add the 6 ounces:

144 ounces + 6 ounces = 150 ounces

Next, we need to convert ounces to grams. There are approximately 28.35 grams in one ounce. So:

150 ounces * 28.35 grams/ounce ≈ 4252.5 grams

Therefore, the newborn weighs approximately 4252.5 grams.

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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

The nurse is caring for a preterm formula fed infant. What finding would be most important to report to the healthcare provider?

Correct Answer is C

Explanation

Your newborn weighs 9 pounds 6 ounces. Convert this weight to grams. Do not round.

Correct Answer is ["4252.5"]

Explanation

A newborn is experiencing symptoms of cold stress. Which assessment data by the nurse will require further evaluation for stress protocol? (Select All that Apply.)

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A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

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The nurse knows that cardiopulmonary adaptation in the neonate involves five major changes; which includes the closure of which fetal cardiac structures?

A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make?