The nurse is educating a caregiver about infant feeding. Which statement by the caregiver demonstrates an understanding of the teaching?

The baby will eat on a schedule of every two to three hours for at least 15 minutes.

Do not wake them for feeding. Never wake a sleeping baby.

I will feed my baby when they start smacking their lips or sucking on their hands.

It is important for a baby to cry. If I respond too soon, they will be spoiled.

Answer and Explanation

The Correct Answer is C

Choice A reason: This statement suggests a rigid schedule for feeding, which may not always align with an infant's natural hunger cues. While some babies may follow a regular feeding pattern, it's essential to prioritize the baby's hunger cues over a strict schedule. Feeding on demand, when the baby shows signs of hunger, is generally recommended to ensure they receive adequate nutrition and comfort.

Choice B reason: Advising not to wake a sleeping baby for feeding is not accurate for all situations. Newborns, especially in the first few weeks, may need to be woken for feeding if they are not gaining weight adequately or if they have medical conditions that require regular feeding. It is important to balance letting the baby sleep and ensuring they get enough nutrition, particularly in the early stages.

Choice C reason: Feeding the baby when they start smacking their lips or sucking on their hands demonstrates an understanding of responding to hunger cues. These behaviours are early signs of hunger, and feeding the baby at this stage can prevent them from becoming overly hungry and fussy. This approach aligns with best practices for feeding on demand, promoting healthy growth and development.

Choice D reason: This statement reflects a misunderstanding of infant care. Crying is a late sign of hunger, and it is important to respond to early hunger cues to prevent distress. The idea that responding too soon to a baby's needs will spoil them is a myth. Timely and responsive care fosters a sense of security and trust in the caregiver-infant relationship, contributing to the baby's overall well-being.

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Correct Answer is C

Explanation

Choice A reason: A red blood cell count of 4.5 million/cu mm is within the normal range for pregnant women. It does not indicate an immediate concern that needs to be reported to the healthcare provider. Normal red blood cell counts help ensure adequate oxygen transport in the body.

Choice B reason: A haematocrit level of 37% is also within the normal range for pregnant women. Haematocrit measures the proportion of red blood cells in the blood, and this level does not indicate an immediate concern. It is important for maintaining proper oxygen delivery and overall blood volume.

Choice C reason: Platelets 85,000/mm3 is significantly below the normal range (150,000-450,000/mm3). Low platelet counts (thrombocytopenia) can lead to increased risk of bleeding and can be a sign of conditions like preeclampsia, HELLP syndrome, or other blood disorders. This is a critical finding that needs to be immediately reported to the healthcare provider for further evaluation and management to prevent potential complications.

Choice D reason: Haemoglobin level of 14 g/dL is within the normal range for pregnant women and indicates good oxygen-carrying capacity of the blood. It does not represent an immediate concern that would require urgent reporting to the healthcare provider. Maintaining proper haemoglobin levels is crucial for overall health and well-being.

A. Lethargy and hypotonia B. Elastic skin turgor C. Apical heart rate = 64 beats per minute D. Blood pressure = 100/54 mmHg E. Flat anterior fontanel

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

Explanation

Choice A reason: Lethargy and hypotonia are critical findings in a child who was left in a closed car. These symptoms can indicate severe dehydration, heat stroke, or other serious conditions that require immediate medical attention.

Choice B reason: Elastic skin turgor generally indicates good hydration status and is not an immediate concern that needs to be reported urgently in this context.

Choice C reason: An apical heart rate of 64 beats per minute is significantly low for a 14-month-old child, indicating bradycardia, which can be a sign of severe heat stress or dehydration. This finding needs immediate reporting.

Choice D reason: A blood pressure of 100/54 mmHg is within the normal range for many paediatric patients, but in the context of being left in a hot car, it can suggest potential complications and should be monitored closely. However, it is not as critical as the heart rate and mental status findings.

Choice E reason: A flat anterior fontanel is a normal finding in infants and does not require urgent intervention in this context.

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The nurse is educating a caregiver about infant feeding. Which statement by the caregiver demonstrates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing lab results for a pregnant patient. Which lab result will the nurse immediately report to the healthcare provider?

Correct Answer is C

Explanation

The emergency department nurse is assessing a 14-month-old child who was left inside a closed car for an hour. The outside temperature was 88 degrees Fahrenheit. Which assessment findings will the nurse report immediately to the health care provider? Select all that apply.

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

Explanation

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