The nurse is preparing to teach the postpartum mom about newborn feeding cues. Which of the following behaviors of the infant would be considered early hunger cues? Select all that apply.
Sucking on their fingers.
Smacking their lips.
Extending their tongue.
Crying.
Rooting.
Correct Answer : A,B,C,E
Choice A rationale
Sucking on their fingers is an early hunger cue in infants. It indicates that the baby is ready to feed.
Choice B rationale
Smacking their lips is another early hunger cue. It shows that the baby is thinking about feeding.
Choice C rationale
Extending their tongue is also an early hunger cue. It indicates that the baby is ready to latch onto the breast or bottle.
Choice D rationale
Crying is a late hunger cue. It is better to feed the baby before they start crying to make feeding easier.
Choice E rationale
Rooting is an early hunger cue. It involves the baby turning their head towards the breast or bottle, indicating they are ready to feed. .
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Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Sucking on their fingers is an early hunger cue in infants. It indicates that the baby is ready to feed.
Choice B rationale
Smacking their lips is another early hunger cue. It shows that the baby is thinking about feeding.
Choice C rationale
Extending their tongue is also an early hunger cue. It indicates that the baby is ready to latch onto the breast or bottle.
Choice D rationale
Crying is a late hunger cue. It is better to feed the baby before they start crying to make feeding easier.
Choice E rationale
Rooting is an early hunger cue. It involves the baby turning their head towards the breast or bottle, indicating they are ready to feed. .
Correct Answer is D
Explanation
Choice A rationale
An apical pulse rate of 124 bpm is within the normal range for a neonate (110-160 bpm). There is no need to ask another nurse to verify the heart rate as it is not an abnormal finding.
Choice B rationale
Calling the provider for an apical pulse rate of 124 bpm is unnecessary as it is within the normal range for a neonate. This action would be appropriate if the heart rate were significantly outside the normal range.
Choice C rationale
Preparing the newborn for transport to the NICU for an apical pulse rate of 124 bpm is not warranted. The heart rate is within the normal range, and there is no indication for further cardiac observation.
Choice D rationale
Documenting the expected finding is the appropriate action. An apical pulse rate of 124 bpm is within the normal range for a neonate, and no further action is needed.