Nur 602 Exam prep questions with complete solutions
1. Which of the following is appropriate advice to give to a
mother who is breastfeeding her 10-day-old infant?
A. "Your milk will come in today."
B. "To minimize breast tenderness, the baby should not be kept
on either breast for more than 5 to 10 minutes."
C. "A clicking sound made by the baby during feedings signifies
a good latch and suck."
D. "The baby's urine should be light or colorless." Correct
Answer D. "The baby's urine should be light or colorless."
10. The anticipated average daily weight gain during the first 3
months of life is approximately:
A. 15 g or 0.53 oz.
B. 20 g or 0.7 oz.
C. 25 g or 0.88 oz.
D. 30 g or 1 oz. Correct Answer D. 30 g or 1 oz.
11. The average required caloric intake in an infant from age 0
to 3 months is usually:
A. 40 to 60 kcal/kg/day.
B. 60 to 80 kcal/kg/day.
C. 80 to 100 kcal/kg/day.
D. 100 to 120 kcal/kg/day. Correct Answer D. 100 to 120
kcal/kg/day.
12. Regarding physiological jaundice in the newborn, select all
that are correct:
A. It occurs between the first 12 and 24 hours of life.
B. It progresses from the abdomen toward the head of the infant.
,C. Unconjugated bilirubin is elevated.
D. Risk of development of hyperbilirubinemia can be reduced in
a breastfed infant with frequent breastfeeding every 2 to 3 hours
per 24 hours.
E. It can be avoided by supplemental water and dextrose
feedings between breastfeeding in the first 3 to 4 days of life to
increase infant hydration while awaiting mother's milk to come
in. Correct Answer C. Unconjugated bilirubin is elevated.
13. The most likely consequence of inadequate feeding during
the first few weeks of a newborn is:
A. hypercalcemia.
B. hypernatremia.
C. hypokalemia.
D. hyperkalemia Correct Answer B. hypernatremia.
14. Which of the following would be a concern regarding weight
change in a newborn?
A. weight loss of 2% by day 2 of life
B. no weight gain after 3 days of life
C. weight gain of less than 3% after 1 week of life
D. weight loss of greater than 7% at any time after the first week
of life Correct Answer D. weight loss of greater than 7% at any
time after the first week of life
15. A mother who has been breastfeeding her newborn is
planning on returning to work and asks about the use of breast
pumps. The nurse practitioner (NP) counsels on all of the
following except:
A. Some insurance companies will cover the costs of breast
pumps.
, B. Breast pumps can allow flexibility in allowing mothers to
return to work or school.
C. Double pumps are not recommended as they express about
half the amount of milk as single pumps.
D. Federal law requires the employer to provide adequate breaks
and a location for breast pumping. Correct Answer C. Double
pumps are not recommended as they express about half the
amount of milk as single pumps.
2. Which of the following is appropriate advice to give to a
mother who is breastfeeding her 12-hour-old infant?
A. "You will likely have enough milk to feed the baby within a
few hours of birth."
B. "The baby might need to be awakened to be fed."
C. "Supplemental feeding is needed unless the baby has at least
four wet diapers in the first day of life."
D. "The baby will likely have a seedy, yellow bowel movement
today." Correct Answer B. "The baby might need to be
awakened to be fed."
20. Expected stool findings for a 2-week-old baby who is
breastfeeding would most likely include:
A. loose, seedy stools multiple times per day.
B. black, tar-like stool about once per day.
C. thick, blood-tinged stool after each feeding.
D. watery stool about once every 2 to 3 days. Correct Answer
A. loose, seedy stools multiple times per day.
21. A 26-year-old mother who is breastfeeding her 4-month-old
son reports a problematic cough and intermittent wheeze. She
has a history of asthma that was well controlled with a medium-
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