Nokea
The instructor is teaching a group of new mothers about infant care. Which statement indicates that further teaching is needed?
- A. I should put my baby to sleep on their back.
- B. I can give my baby water if they seem thirsty.
- C. Breastfeeding provides all the nutrients my baby needs.
- D. I should burp my baby after each feeding.
Correct Answer: B
Rationale: The correct answer is B. Newborns do not need additional water as breast milk or formula provides all the necessary hydration. Giving water to infants can be harmful and is not recommended as it can interfere with the balance of electrolytes in their bodies. Choice A is correct as placing babies on their back for sleep is the recommended safe sleeping position. Choice C is also correct as breastfeeding does provide all the essential nutrients for babies. Choice D is correct as burping the baby after each feeding helps prevent discomfort from trapped air.
You may also like to solve these questions
The healthcare provider assesses the newborn's ears to be parallel to the outer and inner canthus of the eye. The healthcare provider documents this finding to be which of the following?
- A. A normal position
- B. A possible chromosomal abnormality
- C. Facial paralysis
- D. Prematurity
Correct Answer: A
Rationale: When the top of the ear (pinna) is parallel to the outer and inner canthus of the eye, it is considered a normal position in a newborn. This alignment is an important assessment to ensure normal development and anatomy. Choices B, C, and D are incorrect because the parallel alignment of the ears to the outer and inner canthus of the eye is not indicative of a possible chromosomal abnormality, facial paralysis, or prematurity. It is simply a normal anatomical finding in a newborn.
The provider is educating the parents of a newborn about circumcision care. Which of the following instructions should be included?
- A. Cleanse the penis with each diaper change using alcohol wipes.
- B. Avoid using petroleum jelly on the circumcision site.
- C. Report any yellowish exudate around the head of the penis.
- D. Use warm water to clean the penis gently during diaper changes.
Correct Answer: D
Rationale: The correct instruction for circumcision care is to use warm water to gently clean the penis during diaper changes. Alcohol wipes should be avoided as they can cause irritation. Yellowish exudate around the head of the penis is a normal part of the healing process and does not require reporting unless accompanied by other concerning symptoms. Avoiding petroleum jelly on the circumcision site is important to prevent trapping moisture and bacteria, which can lead to infection.
How can a new mother tell if her baby is getting enough breast milk?
- A. If your baby sleeps through the night, they are getting enough milk.
- B. If your baby has six to eight wet diapers a day, they are getting enough milk.
- C. If your baby cries frequently, they are getting enough milk.
- D. If your baby is awake and alert, they are getting enough milk.
Correct Answer: B
Rationale: The correct answer is B. If a new mother observes that her baby has six to eight wet diapers a day, it indicates that the baby is getting enough breast milk. This is a crucial indicator of adequate milk intake and hydration in infants. Conversely, choices A, C, and D are incorrect. A baby sleeping through the night, crying frequently, or being awake and alert are not reliable indicators of sufficient breast milk intake. It is essential for new mothers to track their baby's diaper output to ensure they are receiving the necessary nutrition.
A breastfeeding mother reports to the nurse that her newborn nurses every hour and never seems satisfied. Which advice should the nurse provide?
- A. Supplement breastfeeding with formula after each nursing session.
- B. Allow the newborn to nurse on each breast for at least 20 minutes.
- C. Reduce the number of nursing sessions to every 2-3 hours.
- D. Ensure the newborn has a proper latch and is effectively nursing.
Correct Answer: D
Rationale: The nurse should ensure that the newborn has a proper latch and is effectively nursing. Sometimes, newborns nurse frequently for comfort even when they are effectively latched. It is essential to address the latch first before considering other interventions. Supplementing with formula (Choice A) may decrease the mother's milk supply. Allowing the newborn to nurse for a set time (Choice B) may not address the underlying latch issue. Reducing nursing sessions (Choice C) may lead to decreased milk production and does not address the latch problem.
What is the most appropriate action to prevent heat loss in a newborn immediately after birth?
- A. Place the newborn in an incubator
- B. Bathe the newborn right away
- C. Dry the newborn thoroughly
- D. Feed the newborn
Correct Answer: C
Rationale: Drying the newborn thoroughly is the most appropriate action to prevent heat loss immediately after birth. This helps to prevent heat loss through evaporation, which is crucial in maintaining the newborn's body temperature. Placing the newborn in an incubator can be a secondary step after ensuring the baby is dry. Bathing the newborn right away is not recommended as it can lead to further heat loss through evaporation. Feeding the newborn is important but not an immediate action to prevent heat loss; ensuring the baby is dry and warm takes precedence.