A mother brings her 1-week-old baby to the clinic with complaints ...

[wenmo]

A mother brings her 1-week-old baby to the clinic with complaints that the baby is not eating well. The mother is attempting to bottle feed about 120 mL every 2 hours. What action by the nurse is best?
 
  A.
  Explain that this is too much volume at one time.
  B.
  Have the mother demonstrate her feeding and burping technique.
  C.
  Reassure the mother that the baby is eating fine.
  D.
  Weigh the baby and plot her weight on a graph.

Question 2

A term infant is 22 hours old, has a total serum bilirubin level of 13 mg/dL, and has visible jaundice. What action by the nurse is most appropriate?
 
  A.
  Assure the parents that this is temporary.
  B.
  Document the findings in the infant's chart.
  C.
  Have the mother switch to bottle feeding.
  D.
  Review the chart for history of a traumatic birth.

[l.stuut]

Answer to Question 1

ANS: A
At 1 week of age, an infant's stomach has a capacity of about 90 mL. Attempting to feed 120 mL is too much at one time. Weighing the baby and plotting her growth and having the mother demonstrate feeding and burping techniques are not incorrect, but the mother needs additional information to safely feed her baby. Simply reassuring the mother does not give her the information she needs to feed the baby appropriately.

Answer to Question 2

ANS: D
Jaundice that appears within the first 24 hours of life is considered pathological. Causes can include events that lead to excessive breakdown of RBCs, leading to increased bilirubin levels, such as polycythemia, traumatic birth, infection, metabolic disorders, and Rh incompatibility. The diagnosis is made when total serum bilirubin levels rise higher than 12.9 mg/dL in term infants and 15 mg/dL in preterm infants. The nurse should review the chart for evidence of a traumatic birth. The other actions are not warranted.

[wenmo]

Great answer, keep it coming

[yeungji]

Thanks for the timely response, appreciate it