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