Author Question: A postpartum woman telephones about her 4-day-old infant. She is not scheduled for a weight check ... (Read 53 times)

haleyc112 · **on:** Jun 27, 2018

A postpartum woman telephones about her 4-day-old infant. She is not scheduled for a weight check until the infant is 10 days old, and she is worried about whether breastfeeding is going well.

Effective breastfeeding is indicated by the newborn who a. Sleeps for 6 hours at a time between feedings
b. Has at least one breast milk stool every 24 hours
c. Gains 1 to 2 ounces per week
d. Has at least six to eight wet diapers per day

Question 2

Which statement about performing a pediatric physical assessment is correct for a school-age child? Select all that apply.

a. Physical examinations proceed systematically from head to toe.
b. The physical examination should be done with parents in the waiting room.
c. Measurement of head circumference is obtained.
d. The physical examination is done only when the child is cooperative.
e. Remove clothing and have the child put on an examination gown.

shailee · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback
A This is not an indication of whether the infant is breastfeeding well. Typically
infants sleep 2 to 4 hours between feedings, depending on whether they are being
fed on a 2- to 3-hour schedule or cluster-fed.
B The infant should have a minimum of three bowel movements in a 24-hour
period.
C Breastfed infants typically gain 15 to 30 g/day.
D After day 4, when the mother's milk comes in, the infant should have six to eight
wet diapers every 24 hours.

Answer to Question 2

A, D, E
Feedback
Correct Physical assessment usually proceeds from head to toe; however if
developmental delays exist, considerations dictate that the least
threatening assessments be done first to obtain accurate data. School-age
children are at a developmental stage when they should be cooperative for
the physical examination. Children of this age are usually modest, and an
examination gown should be provided.
Incorrect Having parents in the examining room with adolescents is not appropriate,
but is appropriate for children of other age-groups. Parents usually are not
kept in the waiting room. Measurement of head circumference is obtained
on children 36 months of age or less.