Which action should the nurse take if a discrepancy is found ...

[BrownTown3]

Which action should the nurse take if a discrepancy is found between the measurements of a newborn and the normative criteria?
 
  a. Remeasure the infant.
  b. Consider this a normal deviation.
  c. Perform an expanded assessment.
  d. Inform the parents so that they can follow the infant's growth.

Question 2

To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?
 
  a. Feed her infant no more than every 4 hours.
  b. Limit her intake of fluids for the first few days.
  c. Apply cold packs to the breast prior to feeding.
  d. Breast-feed frequently and for adequate lengths of time.

[Bigfoot1984]

Answer to Question 1

ANS: C
An expanded assessment is necessary to look for data to verify the measurements of the infant. Remeasuring the infant is helpful but an expanded assessment would be a better action. A discrepancy is not a normal deviation. An expanded assessment is needed first so as not to alarm the parents unnecessarily.

Answer to Question 2

ANS: D
Engorgement occurs when the breasts are not adequately emptied at each feeding or if feedings are not frequent enough. Breast milk moves through the stomach within 1.5 to 2 hours, so waiting 4 hours to feed is too long. Frequent feedings are important to empty the breast and establish lactation. Fluid intake should not be limited with a breastfeeding mother; that would decrease the amount of breast milk produced. Warm packs should be applied to the breast before feedings.

[BrownTown3]

Correct answers!

[Bigfoot1984]

Great! Please up vote