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OB EXAM 2 N4270 MIZZOU QUESTIONS WITH COMPLETE SOLUTIONS
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OB EXAM 2 N4270 MIZZOU QUESTIONS WITH COMPLETE SOLUTIONS
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OB EXAM 2 N4270 MIZZOU QUESTIONS WITHCOMPLETE SOLUTIONS
A 1-week-old newborn is having a wellness examination.
For which reason should the nurse assess the infant's feeding
patterns?
ANSWER
I AM UNSURE
Evaluate the infant's preference for bottle or breast feeding
Document the type of formula the infant prefers
Identify ways to keep the infant from gaining weight
I AM UNSURE
Identify the reason for a weight loss of 2 lb since birth Correct
Answer
A 3-day-old newborn is experiencing breastfeeding jaundice.
Which action should the nurse take?
Encourage the patient to breastfeed every 2 to 3 hours.
Hydrate the infant with intravenous normal saline.
Administer vitamins and minerals the newborn is not receiving.
Instruct the patient to bottle-feed the newborn. Correct Answer
Encourage the patient to breastfeed every 2 to 3 hours.
Prevention and treatment of early breastfeeding jaundice
includes encouraging frequent (every 2 to 3 hours)
breastfeeding. Vitamin supplements should be avoided in
nondehydrated newborns. The infant does not require
intravenous hydration. The patient should engage in lactation
counseling before switching to bottle-feeding.
,Breastfeeding jaundice is self-limiting; it peaks around day 3 as
enteral intake increases, then resolves.
A 4-day-old infant is experiencing water loss.
Which percentage of weight loss should the nurse expect to
assess?
5% to 10%
16% to 20%
11% to 15%
0% to 4% Correct Answer 5% to 10%
Following birth, a newborn's caloric intake is often insufficient
for weight gain until the newborn is 5 to 10 days old. During this
time there may be a weight loss of 5% to 10% in term newborns,
which is caused by a shift of intracellular water to extracellular
space and insensible water loss. A failure to lose weight may
indicate water retention. Weight loss above 11% is not expected.
A bottle-fed infant is reported as being "fussy" during feedings.
Which beverage should be identified to avoid on the feeding
plan?
Tap water
Cow's milk-based formula
Pineapple juice
Orange juice Correct Answer Cow's milk-based formula
Infants who are fussy on traditional, milk-based formula are
typically switched to a lactose-free formula due to the possibility
,of lactose intolerance. Orange juice, pineapple juice, and tap
water do not typically cause an issue for the infant.
A family experiencing financial difficulties is concerned about
the cost of formula for their newborn.
Which community resource should the nurse recommend?
ANSWER
ABM
LLLI
WIC
USDA Correct Answer WIC
A neonate is moved off a cold examination table and onto the
patient's chest. Which type of heat loss should the nurse explain
this action addresses?
Conduction
Convection
Radiation
Evaporation Correct Answer Conduction
A new father asks how to prepare powdered formula.
Which response should the nurse make?
ANSWER
"Freshly prepared formula should sit out at room temperature for
no longer than 4 hours."
"Adding more or less water to the formula is acceptable, as long
as the total amount of liquid is around what the child usually
eats."
, "Powdered formula can be mixed into cold or hot water."
"Warm up formula in a bottle by placing it in a bowl of warm
tap water for no more than 15 minutes." Correct Answer
"Warm up formula in a bottle by placing it in a bowl of warm
tap water for no more than 15 minutes."
Although infants can take cold formula, most newborns will
prefer it warm. Formula in a bottle can be warmed up by placing
it in warm tap water for no longer than 15 minutes. Powdered
formula should be mixed into hot water for safety purposes.
Freshly prepared formula should sit out at room temperature for
no longer than two hours. The exact amount of water as
indicated in the instructions should be added; more can dilute
nutrients and less can damage the digestive system.
If the formula has been sitting in the refrigerator, it should be
warmed and shaken before feeding.
A new father is observed propping the bottle while feeding a
newborn.
Which teaching should the nurse provide?
ANSWER
The bottle should only be propped once the baby can grip the
bottle.
Propping a bottle is only recommended when the newborn is
being monitored.
Propping a bottle should never be done, as it is a choking
hazard.
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