a breastfeeding mother reports to the nurse that her newborn nurses every hour and never seems satisfied which advice should the nurse provide
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ATI LPN

ATI Pediatrics Proctored Exam 2023 with NGN

1. A breastfeeding mother reports to the nurse that her newborn nurses every hour and never seems satisfied. Which advice should the nurse provide?

Correct answer: D

Rationale: The nurse should ensure that the newborn has a proper latch and is effectively nursing. Sometimes, newborns nurse frequently for comfort even when they are effectively latched. It is essential to address the latch first before considering other interventions. Supplementing with formula (Choice A) may decrease the mother's milk supply. Allowing the newborn to nurse for a set time (Choice B) may not address the underlying latch issue. Reducing nursing sessions (Choice C) may lead to decreased milk production and does not address the latch problem.

2. After the baby's head delivers, how is it usually tilted?

Correct answer: C

Rationale: After the baby's head delivers, it is typically tilted posteriorly to one side to help facilitate the delivery of the shoulders. This positioning is important for the safe and smooth delivery of the baby.

3. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct?

Correct answer: A

Rationale: The correct answer is A. SIDS can occur at any time of the day or night, although it most commonly occurs during sleep. SIDS is sudden and unpredictable, making it challenging to prevent in all cases. While most cases occur in infants younger than 6 months, it is not limited to this age group. SIDS is not uncommon in infants older than 1 year of age, although less common than in younger infants.

4. What are the MOST important initial steps in assessing and managing a newborn?

Correct answer: B

Rationale: The most crucial initial steps in assessing and managing a newborn involve clearing the airway to ensure proper breathing and keeping the infant warm to maintain body temperature. Airway clearance helps prevent respiratory distress, while warmth is essential to prevent hypothermia, a common issue in newborns. These steps are vital in the immediate care of a newborn to support their transition to extrauterine life and ensure their well-being. Choice A is incorrect because obtaining an APGAR score is important but not as critical as clearing the airway. Choice C is incorrect as suctioning the airway is not always necessary and obtaining a heart rate is secondary to ensuring a clear airway and warmth. Choice D is incorrect because counting respirations is not as immediate and crucial as clearing the airway.

5. In public education on Typhoid fever, the condition mainly spreads through:

Correct answer: C

Rationale: Typhoid fever is primarily spread through contaminated food and water, usually due to poor sanitation practices. The bacteria responsible for typhoid fever, Salmonella Typhi, is typically found in food or water contaminated by the feces of an infected person. Contaminated air is not a significant mode of transmission for typhoid fever, making choice A incorrect. While waterborne transmission can occur, it is through contaminated water rather than specifically mineral water, making choice B incorrect. Therefore, the correct answer is C, as contaminated food and water are the main sources of transmission for typhoid fever.

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