At birth, an infant weighed 6 pounds 12 ounces. Three days later, ...

[ts19998]

At birth, an infant weighed 6 pounds 12 ounces. Three days later, he weighs 5 pounds 2 ounces. What conclusion should the nurse draw regarding this newborn's weight?
 
  1. This weight loss is excessive.
  2. Weight loss is within normal limits.
  3. Weight gain is excessive.
  4. Weight gain is within normal limits.

Question 2

A patient has delivered a stillborn infant at 28 weeks' gestation. Which nursing action is appropriate?
 
  1. Discuss funeral options for the baby.
  2. Encourage the couple to try to get pregnant again soon.
  3. Ask the couple whether or not they would like to hold the baby.
  4. Advise the couple that the baby's death was probably for the best.

[vboyd24]

Answer to Question 1

1
Rationale 1: This newborn has lost more than 10 of the birth weight; this weight loss is excessive. During the first 510 days of life, caloric intake is often insufficient for weight gain, and there can be a weight loss of 5 to 10 in term newborns.
Rationale 2: This weight loss is greater than the expected 5 to 10.
Rationale 3: This is not a weight gain.
Rationale 4: This is not a weight gain.

Answer to Question 2

3
Rationale 1: This is not appropriate for the nurse to do at this time.
Rationale 2: This is not appropriate for the nurse to do, as the parents have to grieve for this baby at this time.
Rationale 3: This is an appropriate action for the nurse at this time.
Rationale 4: The nurse should avoid cliches.