A postpartum nurse is giving guidance to a mother whose breast-fed newborn is experiencing hyperbilirubinemia. What are the best instructions for the nurse to give the mother in this case?

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Nursing Care of the Newborn Questions

Question 1 of 5

A postpartum nurse is giving guidance to a mother whose breast-fed newborn is experiencing hyperbilirubinemia. What are the best instructions for the nurse to give the mother in this case?

A. It is best for the infant if she stops breast-feeding and switches to bottle-feeding permanently. B. The mother should switch to bottle-feeding until the baby’s bilirubin returns to normal range. C. The mother should alternate breast-feeding and bottle-feeding to ensure adequate fluid intake, until the baby’s bilirubin returns to normal range. D. The mother should continue to breast-feed the infant every 2 to 3 hours or more frequently as tolerated (every 2 hours if under phototherapy).

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A nurse is providing discharge instructions to a parent on preventing SIDS. What action by the parent signifies that they have effectively grasped what has been taught?

A. The parent wraps the baby in layers of blankets. B. The parent puts several stuffed animals in the baby’s crib. C. The parent places the infant on the infant’s back to sleep. D. The parent sleeps or shares a bed with the infant.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

When giving a newborn a bath, what is a concern for the nurse (or caregiver)?

A. hyperbilirubinemia B. hypoglycemia C. thermoregulation D. contact dermatitis

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Edward, a newborn delivered at 41 weeks' gestation, weighs 10 lb 4 oz. Vaginal delivery for this G1P1 mother was assisted with forceps. The nurse is completing her assessment and notes a sharply demarcated swelling over the parietal bones. The occipital and frontal skull bones are not affected. The neck does not appear edematous and is soft to the touch with full mobility. The infant is awake and active and has been breast-feeding well. What is the most probable cause of the swelling?

A. cephalohematoma B. subgaleal hemorrhage C. caput succedaneum D. skull fracture

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The family with a newborn diagnosed with cleft lip and palate is concerned about what will happen in the future. The birthing parent asks if they will be able to breast-feed the infant. What is the best response from the nurse?

A. Newborns with cleft lip and palate require a special nipple and setup to receive full nutrition. B. Newborns with cleft lip and palate are unable to breast-feed but can have breast milk. C. Newborns with a cleft lip and palate may be able to breast-feed because latching may fill the gap. D. Newborns with cleft lip and palate are able to breast-feed only after surgical repair of their cleft.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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