Test bank For Kozier And Erbs Fundamentals Of Nursing 10th Edition by Berman Snyder

Chapter 47

Question 1

Type: MCSA

The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to sleep. What instruction should the nurse give this parent?

1. Make the baby wait at least 3 hours between feedings.

2. Continue to feed the baby with this on-demand schedule.

3. When the baby gets sleepy during feeding, use techniques such as moving around and tickling to encourage wakefulness.

4. Offer the baby less formula to prevent waste.

Correct Answer: 2

Rationale 1: Making the baby wait longer between feedings may result in feeding difficulties later in childhood.

Rationale 2: Newborns are often fed following an on-demand schedule. This might include feedings every 2 hours at first.

Rationale 3: Trying to keep the baby awake to feed may result in feeding difficulties later in childhood.

Rationale 4: Offering less formula may result in feeding difficulties later in childhood.

Global Rationale: 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient-centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 4. Identify nutritional variations throughout the life cycle.

MNL Learning Outcome: 4.9.1. Implement interventions to support nutritional intake in clients who are unable to eat.

Page Number: 1135