Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.
A. "Your baby should wet 6 to 12 diapers per day.”. .
A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.
B. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding.”. .
A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.
C. "Your baby should sleep at least 6 hours between feedings.”. .
A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.
D. "Your baby should burp after each feeding.”.
While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice A.
Choice A rationale:
A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.
Choice B rationale:
A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.
Choice C rationale:
A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.
Choice D rationale:
While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.
Similar Questions
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Which of the following findings support this diagnosis?.
A. Abdominal pain with scant red vaginal bleeding.
Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.
B. Painless red vaginal bleeding.
Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.
C. Increasing abdominal pain with a nonrelaxed uterus.
Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.
D. Intermittent abdominal pain following the passage of bloody mucus.
Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not placenta previa.
Full Explanation
The correct answer is choice B.
Choice A rationale:
Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.
Choice B rationale:
Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.
Choice C rationale:
Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.
Choice D rationale:
Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not placenta previa.
A nurse is teaching a newborn's parent to care for the umbilical cord stump.
Which of the following instructions should the nurse include?.
A. Wash the cord daily with mild soap and water.
Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.
B. Apply petroleum jelly to the cord stump.
Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.
C. Cover the cord with the diaper.
The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.
D. Give a sponge bath until the cord stump falls off.
Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.
Full Explanation
The correct answer is choice D.
Choice A rationale:
Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.
Choice B rationale:
Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.
Choice C rationale:
The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.
Choice D rationale:
Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Which of the following is an expected finding?.
A. Report of headache.
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
B. Absence of clonus.
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
C. Polyuria.
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
D. Tachycardia.
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.
Full Explanation
The correct answer is choice A.
Choice A rationale:
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
Choice B rationale:
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
Choice C rationale:
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
Choice D rationale:
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.