A newborn delivered at 34 weeks is alert and has a coordinated suck. Which feeding plan is most appropriate if direct breastfeeding is not yet effective?
Correct answer: B. Provide expressed breast milk using a suitable alternative method
- A. Give unmodified cow's milk by bottle
- B. Provide expressed breast milk using a suitable alternative method
- C. Withhold feeds for 24 hours to prevent aspiration
- D. Give glucose water until the mother has more milk
Explanation
Expressed breast milk is preferred for a preterm newborn and may be given by a suitable method according to the infant's feeding ability and local protocol. Cow's milk and glucose water do not provide appropriate nutrition, while unnecessary fasting increases the risk of hypoglycaemia.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Care of the Newborn
Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.
Practise Care of the Newborn
50 free Care of the Newborn MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Midwifery and Obstetric Nursing questions like this
Midwifery and Obstetric Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Care of the Newborn questions
A nurse is preparing to examine several newborns in a postnatal ward. Which action is most effective for preventing transmission of infection?
Which finding in a newborn most strongly suggests an umbilical cord infection?
A newborn remains apnoeic after 30 seconds of effective positive-pressure ventilation, and the heart rate is 50 beats per minute. Which action should the nurse take?
Which finding is a normal variation in a healthy newborn during the first few days of life?
A newborn's temperature is 35.5°C, and the baby is jittery and feeding poorly. What should the nurse do first?
A 10-hour-old newborn develops yellow discoloration of the skin. Which action is most appropriate?