ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?
Correct Answer: B
Rationale: The correct answer is B (100 to 110 kcal/kg). Full-term formula-fed infants need around 100 to 110 kcal/kg per day for optimal growth and development. This amount is tailored to meet their energy requirements and support proper weight gain. Choices A, C, and D are incorrect because they either fall below or exceed the recommended range for infants. Option A (50 to 75 kcal/kg) is too low, which may lead to inadequate energy intake. Option C (120 to 140 kcal/kg) and Option D (150 to 200 kcal/kg) are too high, potentially causing excessive weight gain or metabolic issues. Therefore, option B is the most suitable and balanced choice for meeting the energy needs of formula-fed infants.
Question 2 of 5
To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?
Correct Answer: D
Rationale: The correct answer is D because frequent and adequate breastfeeding helps prevent breast engorgement by ensuring proper milk flow and emptying of the breasts. This stimulates milk production and prevents blockages. Choice A is incorrect as spacing out feedings can lead to engorgement. Choice B is incorrect as hydration is important for milk production. Choice C is incorrect as cold packs can reduce milk flow and hinder breastfeeding. In summary, frequent and effective breastfeeding is crucial in preventing breast engorgement.
Question 3 of 5
Which technique should the nurse recommend to the postpartum patient in order to prevent nipple trauma?
Correct Answer: D
Rationale: The correct answer is D: Position the infant so the nipple is far back in the mouth. This technique helps prevent nipple trauma by ensuring that the baby latches onto the breast correctly, with a deep latch that prevents excessive pressure and friction on the nipple. By positioning the nipple far back in the baby's mouth, the baby can effectively suckle and draw milk without causing damage to the nipple. Choice A is incorrect because simply assessing the nipples before each feeding does not actively prevent trauma. Choice B is incorrect as limiting feeding time to less than 5 minutes can lead to inadequate milk transfer and potential nipple trauma due to improper latch. Choice C is incorrect as washing the nipples daily with soap and water can actually strip the skin of natural oils and increase the risk of dryness and cracking, leading to trauma.
Question 4 of 5
What is the most serious consequence of propping an infant's bottle?
Correct Answer: B
Rationale: The correct answer is B: Aspiration. Propping an infant's bottle can lead to the infant choking on the milk, formula, or saliva, causing aspiration into the lungs. This can result in severe respiratory issues, pneumonia, and other serious complications. Propping a bottle can also lead to overfeeding, ear infections (choice D) due to the improper positioning, but the most immediate and serious consequence is the risk of aspiration. Colic (choice A) and dental caries (choice C) are not directly related to propping a bottle.
Question 5 of 5
A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to
Correct Answer: B
Rationale: Step 1: Breast tenderness and fullness between feedings indicate engorgement, a common issue in breastfeeding mothers. Step 2: Putting the infant to the breast more frequently helps empty the breast and prevents engorgement. Step 3: Regular feeding stimulates milk production and prevents discomfort. Step 4: This approach is effective in addressing the underlying issue of engorgement. Summary: A: Wearing a bra at all times may not address the root cause of engorgement. C: Ice packs can provide temporary relief but do not prevent engorgement. D: Normalizing the issue without providing a solution does not address the discomfort.