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 B
Explanation
Choice A rationale
Small for gestational age (SGA) refers to newborns whose birth weight is below the 10th percentile for their gestational age.
Choice B rationale
Appropriate for gestational age (AGA) refers to newborns whose birth weight is between the 10th and 90th percentiles for their gestational age. A newborn weighing 3350 g at 39 weeks gestation falls within this range.
Choice C rationale
Low birth weight is defined as a birth weight of less than 2500 g, which does not apply to this newborn.
Choice D rationale
Large for gestational age (LGA) refers to newborns whose birth weight is above the 90th percentile for their gestational age.
Correct Answer is B
Explanation
Choice A rationale
Shivering is not a primary concern for newborns as they have limited ability to shiver. Instead, they rely on non-shivering thermogenesis to maintain body temperature.
Choice B rationale
Cold stress is a significant concern for newborns as it can lead to hypothermia, increased oxygen consumption, and metabolic acidosis. Placing a newborn under a radiant heat warmer helps maintain their body temperature and prevent cold stress.
Choice C rationale
Brown fat production is a natural process in newborns that helps generate heat. However, the primary purpose of using a radiant heat warmer is to prevent cold stress, not to stimulate brown fat production.
Choice D rationale
Basal metabolic rate reduction is not the primary concern. The focus is on preventing cold stress and maintaining the newborn’s body temperature.