The nurse is assessing a 3-day-old, breast-fed newborn who ...

[jake]

The nurse is assessing a 3-day-old, breast-fed newborn who weighed 7 pounds, 8 ounces at birth. The newborn's mother is now concerned that the newborn weighs 6 pounds, 15 ounces. Which is the most appropriate nursing intervention?
 
  a. Recommend supplemental feedings of formula.
  b. Explain that this weight loss is within normal limits.
  c. Assess child further to determine cause of excessive weight loss.
  d. Encourage mother to express breast milk for bottle feeding the newborn.

Question 2

The nurse should expect the apical heart rate of a stabilized newborn to be in which range?
 
  a. 60 to 80 beats/min
  b. 80 to 100 beats/min
  c. 120 to 140 beats/min
  d. 160 to 180 beats/min

[AngeliqueG]

Answer to Question 1

ANS: B
The newborn normally loses about 10 of the birth weight by age 3 or 4 days. The birth weight is usually regained by the tenth day of life. Because this is an expected occurrence, no further action is needed. The mother should be taught about normal newborn feeding and growing patterns.

Answer to Question 2

ANS: C
The pulse rate of the newborn varies with periods of reactivity. Usually the pulse rate is between 120 and 140 beats/min; 60 to 100 beats/min is too slow for a neonate and 160 to 180 beats/min is too fast for a neonate.

[jake]

Excellent

[frankwu0507]

Wow, this really help