A nurse in a clinic is Iron stores in infants begin to deplete.
teaching the mother of a 4-
month-old infant who has
been breastfed. The mother
plans to switch her infant to
an iron-
fortified formula. Which of
the following should be
included in the teaching?
Iron facilitates development
of vision in infants.
Iron facilitates growth of
bones in infants.
Iron stores in infants begin
to deplete.
Iron is poorly absorbed in
infants.
,A nurse is caring for a Initiate early feeding
newborn 4 hr after birth.
Which of the following
actions should the nurse
include in the plan of care
to prevent jaundice?
Begin phototherapy.
Initiate early feeding.
Suction excess mucus with
a bulb syringe
Prepare for an exchange
blood transfusion.
A nurse is assessing a Increased blood pressure in the arms with decreased
newborn who has a blood pressure in the legs
coarctation of the aorta.
Which of the following
should the nurse recognize
is a clinical manifestation of
coarctation or the aorta?
Increased blood pressure in
the arms with decreased
blood pressure in the legs
Decreased blood pressure
in the arms with increased
blood pressure in the legs
Increased blood pressure in
both the arms and the legs
Decreased blood pressure
in both the arms and the
legs
,A nurse is assisting a client rooting
with breastfeeding. The
nurse explains that which of
the following reflexes will
promote the newborn to
latch?
Babinski
Rooting
Moro
Stepping
A nurse is caring for a client Suction the mouth with a bulb syringe
who has just delivered a
newborn. The nurse notes
secretions bubbling out of
the newborn's nose and
mouth. Which
of the following actions is
the nurse's priority?
Suction the nose with a
bulb syringe.
Suction the mouth with a
bulb syringe
Use a suction catheter with
low negative pressure.
Turn the newborn on his
side.
, A nurse is completing a Plantar creases cover 2/3 of sole
newborn gestational agè
assessment. Which of the
following findings should
be recorded as part of this
assessment on the
newborn?
Acrocyanosis of hands and
feet
Anterior fontanel soft and
level
Plantar creases cover 2/3 of
sole
Vernix caseosa in inguinal
creases
A nurse is caring for a client Expressions of excitement
who experienced a vaginal
birth 12 hr ago. The nurse
recognizes the client is in
the dependent, taking in
phase of
maternal postpartum
adjustment. Which of the
following findings should
the nurse expect during this
phase?
Expressions of excitement
Lack of appetite
Focus on the family unit and
its members
Eagerness to learn
newborn care skills
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