CH 17, 20 (Newborn Nutrition/Intro to Pediatric Nursing)
Which data collected during a newborn wellness visit indicate the need for further intervention?
Changing four wet diapers each day
Which action should the nurse implement in order to apply the principles of family-centered care in the hospital environment?
Encouraging parents to continue bedtime routines, such as reading a story
Which nursing action assists the mother of a newborn who wants to breastfeed?
Encouraging rooming-in during the hospital stay
Which parental statement indicates the need for further education related to formula preparation?
"Ready-to-use formula can be further diluted if my baby experiences constipation"
Which initiative is the nurse following by not using the abbreviation QOD when documenting care that is provided every other day?
Do not use abbreviations
Which term describes assisting a family to feel supported, listened to, and competent?
Empowerment
Which is a disadvantage of bottle feeding?
Purchasing formula for the first year of life
When determining a term newborn's caloric needs, which should the nurse use?
105 to 108 kcal/kg/day
Which parental statement regarding latch-on during breastfeeding indicates the need for additional teaching by the nurse?
"I should place my thumb on the bottom of my breast when helping my baby latch on during breastfeeding."
Which parental statement regarding newborn readiness to nurse indicates the need for further education?
"My baby will initiate the palmar grasp when ready to breastfeed"
Which statement regarding the advantages of breastfeeding should the nurse include in an educational session for a pregnant woman?
"Breastfeeding is economical"
A nursing mother states, "I think my baby has developed nipple confusion." Which question should the nurse ask to further assess the mother's statement?
"How many weeks have you been breastfeeding?"
Which statement made by a mother of a bottle-feeding newborn necessitates the need for additional education related to safety?
"I prop the bottle only if I need to multitask during feedings"
Which pediatric anatomical factor increases the risk for airway occlusion when care is provided to a child?
A large posterior head bone occiput
Which mother might benefit from bottle feeding rather than breastfeeding?
A mother diagnosed with epilepsy who takes medications that pass through the breast milk
Which must occur for lactogenesis to occur?
An increase in prolactin with nipple stimulation
Which toy should the nurse provide to the school-aged patient to promote development?
Board game
Which type of breast milk is produced in stage 1 of human milk production?
Colostrum
Which intervention is meant to enhance medication safety for inpatient pediatric units?
Computerized order entry
Which term should the nurse use when documenting a new mother's milk production in the medical record?
Lactogenesis
Which anatomical difference between adults and children places a pediatric patient at risk for insensible losses?
Large body surface area
Which toy should the nurse provide to the preschool-aged patient to promote development?
Large-piece puzzle
Which patient condition contraindicates breastfeeding?
Maternal HIV
Which toy should the nurse provide to the infant patient to promote development?
Music box
Which toy should the nurse provide to the toddler-aged patient to promote development?
Pail and shovel
Which pediatric anatomical factor increases the risk for respiratory failure when care is provided to a child?
Poorly developed intercostal chest muscles
Which parental action indicates the need for additional teaching related to bottle feeding?
Providing juice through a bottle at 5 months of age
Which is the best method for providing orientation to a novice pediatric nurse to enhance communication skills when working with this population?
Simulation activities
Which action enhances crib safety when providing care to a pediatric patient in the hospital setting?
Storing items such as diapers and wipes at the bedside table
On which new morbidity topic should the pediatric nurse focus when providing health promotion to families?
Unsafe neighborhoods
Which nursing action supports the National Patient Safety Goals for 2016?
Using two identifiers prior to medication administration
For which stage of development must the nurse engage in total safety perception when providing patient care?
Younger infant