ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
How should the nurse explain mild supply and demand when responding to the question, 'Will I produce enough milk for my baby as she grows and needs more milk at each feeding?'
Correct Answer: D
Rationale: Step 1: The correct answer is D because it accurately explains the concept of milk supply and demand. Step 2: As the baby demands more milk at each feeding, the mother's body will naturally increase milk production to meet the demand. Step 3: This is the biological principle of supply and demand in breastfeeding. Step 4: Option A is incorrect because early addition of baby food is not related to milk production. Step 5: Option B is incorrect because breast milk composition remains relatively constant; it doesn't become richer as the baby grows. Step 6: Option C is incorrect because cow's milk is not recommended as a supplement for infants due to its composition being unsuitable for their digestive systems.
Question 2 of 5
A new mother asks whether she should feed her newborn colostrum because it is not 'real milk.' The nurse's best answer includes which information?
Correct Answer: B
Rationale: The correct answer is B because colostrum is crucial for newborns as it is rich in antibodies, proteins, vitamins, and minerals essential for the baby's health and immune system. Colostrum provides vital nutrients and protective factors that help the baby fight infections and establish a healthy gut microbiome. It acts as the baby's first vaccine and is crucial for their overall well-being. Choice A is incorrect because colostrum is necessary for newborns due to its unique composition. Choice C is incorrect as colostrum is not lower in calories, and it is not necessary to supplement with formula. Choice D is incorrect as the primary purpose of giving colostrum is to benefit the newborn's health, not just for the mother's learning process.
Question 3 of 5
A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?
Correct Answer: A
Rationale: Step 1: Monitoring the infant's output through diaper changes is a reliable indicator of sufficient nutrient intake. Step 2: Six or more diapers changed in a 24-hour period signifies that the baby is getting enough nutrients from breastfeeding. Step 3: This method is practical and easy for the mother to observe and track regularly. Step 4: It reassures the mother that her newborn is receiving adequate nutrition, addressing her concerns effectively. Summary: - Choice A is correct as it provides a tangible and practical method for assessing the baby's nutrient intake. - Choice B is incorrect as satisfaction with feeding does not directly correlate with nutrient intake. - Choice C is incorrect as it oversimplifies the situation and does not offer a practical solution. - Choice D is incorrect as providing pamphlets may not address the mother's immediate concerns about the baby's nutrient status.
Question 4 of 5
The nurse is teaching a postpartum patient different holds for breastfeeding. Which of the following figures depicts the football hold frequently used for patients who have had a cesarean birth?
Correct Answer: B
Rationale: The correct answer is B because the football hold is a breastfeeding position where the baby is positioned at the side of the mother, with the baby's legs tucked under the mother's arm. This position is beneficial for mothers who have had a cesarean birth as it keeps the baby away from the incision site. Choice A does not show the baby tucked under the arm, choices C and D show the baby positioned differently than in the football hold. Therefore, B is the correct choice for the football hold commonly used for postpartum patients who have had a cesarean birth.
Question 5 of 5
What kind of muscle tone does a preterm newborn have compared to a full-term newborn?
Correct Answer: D
Rationale: The correct answer is D: flaccid. Preterm newborns typically have lower muscle tone compared to full-term newborns due to their immature nervous system. This results in a lack of firmness or strength in their muscles, leading to a flaccid appearance. Choice A is incorrect because preterm newborns do not have firm muscle tone. Choice B is incorrect as it is too general and does not specify the type of abnormality. Choice C is incorrect because preterm newborns do not have normal muscle tone like full-term newborns.