The nurse is preparing a new mother and newborn for discharge. Which statement indicates learning has occurred in the mother?

Correct Answer: B

Rationale: The correct answer is B because it demonstrates understanding of the importance of exclusive breastfeeding every 2 to 3 hours. This statement shows the mother has learned about the recommended feeding schedule for newborns and the benefits of exclusive breastfeeding. Choice A is incorrect because feeding every 3 hours does not emphasize exclusive breastfeeding. Choice C is incorrect as supplementing with formula can interfere with establishing breastfeeding. Choice D is incorrect because iron-fortified formula is not typically needed if the baby is breastfed exclusively for the first 6 months.

Correct Answer: C

Rationale: The correct answer is C: Wash in warm soapy water daily or after each use. This method is recommended as it effectively removes any residue, dirt, or bacteria from the bulb syringe. Cleaning the syringe daily or after each use helps prevent the growth of harmful bacteria and ensures it remains hygienic for future use. Boiling the syringe (choice A) may damage the materials and is not necessary after every use. Microwaving in warm water (choice B) may not effectively clean the syringe. Wiping with alcohol prep (choice D) may not be sufficient to remove all contaminants.

Correct Answer: A

Rationale: The correct answer is A because an umbilical cord with one artery and two veins is indicative of a congenital anomaly, which can lead to serious health issues such as heart defects or kidney problems. The umbilical cord normally has two arteries and one vein. Option B, a respiratory rate of 35 breaths per minute, is within the normal range for a newborn. Option C, pink body with blue extremities, is a common finding in newborns due to their immature circulatory system. Option D, no retractions or grunting, is a positive sign as retractions and grunting can indicate respiratory distress.

Correct Answer: B

Rationale: The correct answer is B: jaundice. Cephalohematoma is a collection of blood between the skull and periosteum of a newborn, often caused by birth trauma. This blood breakdown can lead to an increase in bilirubin levels, causing jaundice. Infection (choice A) is not directly associated with cephalohematoma. Caput succedaneum (choice C) is a scalp swelling that resolves on its own and is not linked to cephalohematoma. Erythema toxicum (choice D) is a benign rash common in newborns and is not related to cephalohematoma or jaundice.

Correct Answer: C

Rationale: The correct answer is C because a newborn classified as large-for-gestational-age (LGA) is above the 90th percentile for weight based on their gestational age. This means the infant's weight is greater than 90% of other infants of the same gestational age. Choices A and B are incorrect as they indicate being below the 90th percentile, which is not the case for an LGA infant. Choice D is also incorrect as an LGA infant's weight is specifically above the 90th percentile, not between the 10th and 90th percentile.