Nursing Care of the Newborn

Nursing Care of the Newborn Related

Review Nursing Care of the Newborn related questions and content

A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft. The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, what score would the nurse assign to this feeding session?

  • A. 10 and document findings in the chart.
  • B. 6 and further teach and assist the mother in feeding activities.
  • C. 5 and tell the mother to discontinue feeding attempts at this time because the infant is too sleepy.
  • D. 8 and no further assistance is needed for feeding.
Correct Answer: B

Rationale: The correct answer is B: 6 and further teach and assist the mother in feeding activities.

Rationale:
1. LATCH scoring system assesses breastfeeding effectiveness.
2. A score of 6 indicates some difficulty and need for further teaching.
3. Signs of difficulty in this scenario: sleepy infant, flat nipples, soft breasts.
4. Audible swallowing is a positive sign but not enough to warrant a perfect score.
5. Further teaching and assistance can improve latch and feeding success.
6. Other options are incorrect as they do not address the need for additional teaching and support.

You may also like to solve these questions

During an assessment of a 12-hour-old newborn, the nurse notices pale pink spots on the nape of the neck. How does the nurse document this finding?

  • A. nevus vasculosus
  • B. Mongolian spots
  • C. nevus flammeus
  • D. telangiectatic nevi
Correct Answer: C

Rationale: Nevus flammeus, also known as salmon patches, are common vascular markings often seen on the nape of the neck.

In order to promote thermal stabilization in a neonate

  • A. which action by the nurse is best?
  • B. Lay the infant in an incubator.
  • C. Place the infant in skin-to-skin contact with the mom.
  • D. Put a knitted cap on the babys head.
Correct Answer: B

Rationale: All options will help the baby maintain a normal temperature but ideally the nurse places the infant in skin-to-skin contact on the mothers abdomen.

The newborn is having occasional gasping respirations with a heart rate of 90 beats per minute. Skin color is cyanotic with poor muscle tone. Interpreting relevant clinical data in this scenario, what problems are possible? Select all that apply.

  • A. The newborn is hypothermic.
  • B. The newborn is full term.
  • C. The newborn is experiencing respiratory distress.
  • D. The newborn is anemic.
Correct Answer: A

Rationale: Gasping respirations, cyanosis, and poor tone suggest respiratory distress and potential hypothermia.

The most effective time to initiate breast-feeding is in which stage of reactivity for the neonate?

  • A. period of decreased reactivity
  • B. first period of reactivity
  • C. second period of reactivity
  • D. after the end of the second period of reactivity
Correct Answer: B

Rationale: The first period of reactivity is optimal for initiating breastfeeding due to the newborn's alertness.

After birth, the nurse immediately dries a neonate’s face and hair with a clean, prewarmed towel. After drying, the nurse covers the neonate’s hair with a cap. What type of heat loss is the nurse preventing?

  • A. convection
  • B. conduction
  • C. evaporation
  • D. radiation
Correct Answer: C

Rationale: Covering the neonate's head prevents heat loss through evaporation of moisture from the scalp.

Copyright © 2025 Nokea. All rights reserved.