Nokea
A 24-year-old primipara who has delivered a healthy neonate in the hospital's birthing center plans to bottle-feed her neonate. When developing the nutritional teaching plan for the mother, the nurse should determine that the number of calories required by the neonate each day per pound of body weight is which of the following?
- A. 30 to 35.
- B. 40 to 45.
- C. 50 to 55.
- D. 60 to 65.
Correct Answer: C
Rationale: Neonates require approximately 50-55 calories per pound of body weight daily for growth and development.
You may also like to solve these questions
A newborn with a cleft palate at 1 hour of life has a nursing diagnosis of Risk for Infection related to potential aspiration during feedings. Which of the following nursing actions would support the best feeding practice for this infant?
- A. Use an appropriate nipple and bottle set.
- B. Encourage the mother to breast-feed.
- C. Assess daily weights and wet diapers to monitor intake.
- D. Allow unlimited length of time for each feeding.
Correct Answer: A
Rationale: Using an appropriate nipple and bottle set designed for cleft palate infants minimizes aspiration risk during feedings.
After a vaginal delivery, a preterm neonate is to receive oxygen via mask. While administering the oxygen, the nurse would place the neonate in which of the following positions?
- A. Left side, with the neck slightly flexed.
- B. Back, with the head turned to the left side.
- C. Abdomen, with the head down.
- D. Back, with the neck slightly extended.
Correct Answer: D
Rationale: Placing the neonate on their back with the neck slightly extended opens the airway, facilitating effective oxygen delivery.
A mother is visiting her neonate in the neonatal intensive care unit. Her baby is fussy and the mother wants to know what to do. In order to quiet a sick neonate, which of the following can the nurse teach the mother to do?
- A. Bring in toys for distraction.
- B. Place a musical mobile over the crib.
- C. Stroke the neonate's back.
- D. Use constant, gentle touch.
Correct Answer: D
Rationale: Constant, gentle touch is soothing and minimizes overstimulation for a sick neonate.
A newborn who is 20 hours old has a respiratory rate of 66 , is grunting when exhaling, and has occasional nasal flaring. The newborn's temperature is 98 ; he is breathing room air and is pink with acrocyanosis. The mother had membranes that were ruptured 26 hours before delivery. Based on these data, the nurse should include which of the following in the management of the infant's care?
- A. Continue recording vital signs, voiding, stooling, and eating patterns every 4 hours for 24 hours.
- B. With a health care provider (HCP) order, draw blood cultures, monitor vital signs every 2 hours as well as feeding and elimination patterns every 4 hours, newborn at bedside.
- C. Transfer the newborn to the neonatal intensive care unit with diagnosis of possible sepsis, parents at bedside.
- D. Request CBC with differential from the health care provider, keep the newborn under the radiant warmer, and monitor vital signs every 4 hours, parents at bedside.
Correct Answer: B
Rationale: The concern with this infant is sepsis based on prolonged rupture of membranes before delivery. Blood cultures would provide an accurate diagnosis of sepsis, but will take 48 hours from the time drawn. Frequent monitoring of infant vital signs, looking for changes, and maintaining contact with the parents is also part of care management while awaiting culture results.
A nurse is discussing the withdrawal method with a client. Which of the following client statements indicates a need for further teaching?
- A. I understand it has a high failure rate.
- B. My partner needs to withdraw before ejaculation.
- C. It provides some protection against STIs.
- D. It requires careful timing and control.
Correct Answer: C
Rationale: The withdrawal method does not provide protection against STIs, indicating a need for further teaching. The other statements are correct regarding its high failure rate, need for withdrawal before ejaculation, and requirement for timing and control.