Nokea
The nurse and student nurse are caring for the postpartum client who delivered a term newborn 24 hours previously. The nurse recognizes that the student needs more information on newborn nutrition when making which statement?
- A. About half of the baby’s calorie needs are met by the fat in breast milk or formula.
- B. Lactose is the primary source of carbohydrates in breast milk and formula.
- C. Calcium supplements are not needed for the newborn regardless of the feeding method.
- D. Supplemental water should be given to all infants daily,regardless of feeding method.
Correct Answer: D
Rationale: Breast milk and formula (~90% water) meet infant water needs. Supplemental water risks hyponatremia. Fat (~50% calories) lactose and adequate calcium are correct.
You may also like to solve these questions
Vaginal examination is contraindicated in pregnancy in which situation:
- A. Carcinoma of cervix.
- B. Gonorrhoea.
- C. Prolapsed cord.
- D. Placenta previa.
- E. Active labour.
Correct Answer: D
Rationale: Placenta previa contraindicates vaginal examination due to the risk of provoking severe hemorrhage. Other conditions may require caution but are not absolute contraindications.
The nurse is reviewing the following labor history of a postpartum mother: “Mother positive for group B streptococcal (GBS) infection at 37 weeks’ gestation. Membranes ruptured at home 14 hours before presentation to the hospital at 40 weeks’ gestation. Precipitous labor,no antibiotic given.” Considering this information the nurse should observe her 15-hour-old newborn closely for which finding?
- A. Temperature instability
- B. Pink stains in the diaper
- C. Meconium stools
- D. Presence of erythema toxicum
Correct Answer: A
Rationale: GBS infection risk increases with prolonged membrane rupture and no antibiotics with temperature instability as an early symptom. Pink stains meconium and erythema toxicum are normal.
Which instruction is essential to give the parents before the child's discharge?
- A. Return the child for a follow-up visit in 3 to 5 days.
- B. Give the child nothing by mouth for the next 12 hours.
- C. Check the child's pupillary response every 4 hours.
- D. Awaken the child every 4 hours during the first night.
Correct Answer: D
Rationale: Awakening the child every 4 hours during the first night allows monitoring for neurological deterioration, such as altered consciousness, critical after a head injury.
Which of the following findings during a routine wellness checkup best indicates that a child has iron deficiency anemia?
- A. Weight gain and hypertension
- B. Nervousness and diarrhea
- C. Nausea and vomiting
- D. Pallor and listlessness
Correct Answer: D
Rationale: Pallor and listlessness are hallmark signs of iron deficiency anemia due to reduced hemoglobin, leading to decreased oxygen delivery and fatigue.
Which dietary recommendation should the nurse provide to the parents of a child with iron deficiency anemia?
- A. Increase intake of red meat and leafy greens.
- B. Offer more dairy products like milk and cheese.
- C. Provide high-sugar snacks to boost energy.
- D. Limit consumption of whole grains.
Correct Answer: A
Rationale: Red meat and leafy greens are rich in iron, which is essential for correcting iron deficiency anemia by boosting hemoglobin production.