A nurse is providing discharge instructions for newborn care. The parents have chosen to formula feed their infant. What should the nurse include in the discharge teaching about bottle feeding? (Select all that apply)
Bottles can be put in the dishwasher, boiled, or cleaned with hot soapy water.
Hold the baby in a supine position during feedings.
Only burp the baby after they have finished the entire feeding.
Always hold the bottle while feeding. Do not prop the bottle.
Keep the nipple full of formula throughout the feeding.
Prepared formula can be kept in the refrigerator for 48 hours.
Correct Answer : A,D,E,F
Choice A rationale
Bottles can be put in the dishwasher, boiled, or cleaned with hot soapy water to ensure they are thoroughly sanitized and safe for the infant.
Choice B rationale
Holding the baby in a supine position during feedings is incorrect because it increases the risk of aspiration. The baby should be held in a semi-upright position.
Choice C rationale
Only burping the baby after they have finished the entire feeding is incorrect because it can lead to discomfort and gas buildup. The baby should be burped during and after feedings.
Choice D rationale
Always holding the bottle while feeding and not propping the bottle is correct as it prevents choking and ensures the baby is feeding safely.
Choice E rationale
Keeping the nipple full of formula throughout the feeding is correct as it prevents the baby from swallowing air, which can cause gas and discomfort.
Choice F rationale
Prepared formula can be kept in the refrigerator for 48 hours, ensuring it remains safe and free from bacterial growth.
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View Related questions
Correct Answer is A
Explanation
Choice A rationale
Drying the newborn’s skin thoroughly immediately after birth helps reduce heat loss by evaporation, which is a significant concern as wet skin can cause rapid heat loss.
Choice B rationale
Maintaining ambient room temperature at 24°C (75°F) helps prevent heat loss by convection but does not directly address evaporation.
Choice C rationale
Placing the newborn on a warm surface helps prevent heat loss by conduction but does not address evaporation.
Choice D rationale
Preventing air drafts helps reduce heat loss by convection but does not address evaporation.
Correct Answer is C
Explanation
Choice A rationale
Wiping the cord daily with alcohol prep pads is not recommended. Current guidelines suggest keeping the cord clean and dry without the use of alcohol, as it can delay the natural drying and falling off process.
Choice B rationale
Keeping the cord moist is not recommended. The cord should be kept dry to promote natural drying and separation. Moisture can increase the risk of infection.
Choice C rationale
Folding the top of the diaper underneath the cord is recommended to keep the cord exposed to air and prevent irritation from urine or stool. This helps the cord dry out and fall off naturally.
Choice D rationale
Applying petroleum jelly to the cord stump is not recommended. The cord should be kept dry, and the use of ointments or creams can interfere with the natural drying process. .