You are providing nutritional education to a new mother. The client questions the benefits of each feeding method for her newborn. The nurse recognizes the advantages and disadvantages of each feeding method. What factors are considered disadvantages of bottle-feeding formula? (Select All that Apply.)

Increases the risk of childhood obesity.

Increased cost.

Increases risk of infection.

Decreases maternal-infant bonding.

Anyone can perform the feeding.

Answer and Explanation

Correct Answer : A,B,C,E

A. Bottle-feeding formula is associated with a higher risk of childhood obesity compared to breastfeeding, due to differences in nutrient composition and feeding regulation.

B. Formula feeding is more expensive than breastfeeding, requiring the purchase of formula, bottles, and other supplies.

C. Formula feeding increases the risk of infections such as gastroenteritis, especially if bottles and nipples are not properly sterilized.

D. Bottle-feeding may reduce the opportunity for maternal-infant bonding compared to breastfeeding, which promotes skin-to-skin contact and the release of oxytocin.

E. This is a neutral factor and not a disadvantage; the ability for others to feed the infant can provide flexibility and support for the mother.

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Correct Answer is C

Explanation

A. Feed the infant at least 1 ounce of formula: Feeding may help if the baby is hungry, but it is not the first action in managing symptoms of NAS.
B. Collect a sterile urine specimen: This is an important step for diagnosing NAS but is not the immediate action to calm the infant.
C. Swaddle the infant with hands near its mouth: These symptoms are consistent with neonatal abstinence syndrome (NAS). Comfort measures such as swaddling and non-nutritive sucking are prioritized to soothe the infant.
D. Move the infant into a brightly lit area: A quiet, dim environment is better for soothing an overstimulated baby, so this action would be counterproductive.

A. Oxygen administration and surfactant administration. B. Chest tube insertion and drainage. C. Frequent suctioning through an endotracheal tube. D. Partial exchange blood transfusion.

Correct Answer is A

Explanation

A. The entry of air into the alveoli, replacing expelled amniotic fluid, is a critical mechanical stimulus that initiates the transition to neonatal breathing.
B. Decreased oxygen levels trigger chemical, not mechanical, stimuli.
C. The diaphragm moves downward during inspiration, not upward.
D. Drying and stimulation help initiate breathing through sensory stimulation, not mechanical.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 2-day old newborn is observed to be restless, irritable, sucking on its fist, and crying. What action should the nurse take first?

Correct Answer is C

Explanation

A preterm infant exhibits symptoms including grunting, nasal flaring, and tachypnea. The nurse anticipates the newborn will need which treatment(s)?

Correct Answer is A

Explanation

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

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 providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

A nurse admitted a neonate born less than 2 hours ago to a mother with gestational diabetes. The neonate weighs 4.5 kg. What is the priority nursing action for this neonate?

Complete the following sentence by using the list of options There are two main hormones that have a significant role in lactation. ______ is responsible for the stimulation of breastmilk production and ______ triggers the let-down reflex.

A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide?

A nurse completes a newborn assessment on a 6-hour-old newborn. She notices cyanotic hands and feet. Which action is the nurse's priority?

A client delivers a term neonate and expresses concern about the reason for giving the neonate a Vitamin K injection. Which information from the nurse is accurate?