Nokea
A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's most appropriate response?
- A. Are you concerned about your ability to adequately nurse your baby?'
- B. Do you eat a well-balanced diet, high in protein and carbohydrates?'
- C. Breast milk is low in vitamin D and supplementation with 400 IU is recommended.'
- D. Your breast milk has all the vitamins and will adequately meet your baby's needs.'
Correct Answer: C
Rationale: The correct answer is C because breast milk is indeed low in vitamin D, and supplementation with 400 IU is recommended to ensure the baby's needs are met. Choice A is incorrect as it focuses on the mother's concerns rather than the baby's nutritional needs. Choice B is irrelevant to the specific question about vitamin supplementation. Choice D is incorrect as breast milk lacks sufficient vitamin D, necessitating supplementation.
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The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent’s LMP. What assessment finding of the genitalia confirms this gestational age?
- A. labia majora covering clitoris and labia minora
- B. clitoris prominent, labia minora enlarged
- C. small labia minora, clitoris enlarged
- D. labia majora enlarged, labia minora small
Correct Answer: A
Rationale: In full-term female infants, the labia majora typically cover the clitoris and labia minora.
What steps are included in the QSEN steps for rewarming a neonate at risk for cold stress? Select all that apply.
- A. placing the neonate under the radiant warmer
- B. putting a pulse oximeter on the neonate
- C. assessing a blood glucose level
- D. calling the NICU team for assessment
Correct Answer: A
Rationale: Steps include placing the neonate under a radiant warmer and assessing blood glucose levels.
The nurse determines the gestational age of an infant to be 40 weeks. Which characteristics are most likely to be observed? (Select all that apply.)
- A. Testes are pendulous, and the scrotum has deep rugae
- B. Plantar creases over entire sole
- C. Lanugo abundant over shoulders and back
- D. Vernix well distributed over entire body
Correct Answer: A
Rationale: Full-term infants typically exhibit pendulous testes, deep scrotal rugae, and plantar creases over the entire sole. Lanugo is usually minimal, and vernix tends to be localized rather than widespread.
The nurse manager is planning a debriefing for several of the nurses after an IPFD. What should the manager expect?
- A. The nurses will need to discuss fault in order to alleviate feelings of guilt.
- B. During the debriefing, some nurses will complain of physical tension, headache, and insomnia.
- C. The nurse caring for the patient will need to defend herself to the health-care provider.
- D. The charge nurse will discuss the nurse’s documentation to prevent a lawsuit.
Correct Answer: B
Rationale: Debriefing sessions often reveal stress-related symptoms such as physical tension, headaches, and insomnia among healthcare providers following traumatic events like IPFD. Focusing on blame or legal concerns detracts from the emotional processing necessary during these sessions.
The average newborn sleeps how many hours in a 24-hour period?
- A. 16–17 hours
- B. 10–15 hours
- C. 12–13 hours
- D. 8–12 hours
Correct Answer: A
Rationale: Newborns typically sleep 16–17 hours daily.