Low Risk Neonatal Nurse Exam Low Risk Neonatal Nurse Exam Newborn Nutrition & Breastfeeding Support 2

Question 1

A mother asks how to store expressed breast milk at room temperature. What is the correct nurse response?

Accepted Answer

Up to 4 hours at room temperature (≤77°F)

Answer

Up to 24 hours at room temperature

Answer

Must be refrigerated immediately after expression

Answer

Store for up to 8 hours if the room is cool

Question 2

Which reflex, when elicited, confirms an infant is ready to feed?

Accepted Answer

Rooting reflex

Answer

Moro reflex

Answer

Babinski reflex

Answer

Palmar grasp reflex

Question 3

A breastfeeding mother reports cracked, bleeding nipples. Which intervention is most appropriate?

Accepted Answer

Assess and correct latch technique; apply expressed breast milk to nipples

Answer

Recommend stopping breastfeeding for 48 hours

Answer

Prescribe antibiotics prophylactically

Answer

Switch to formula until nipples heal

Question 4

What is the caloric content of standard term infant formula?

Accepted Answer

20 kcal/oz

Answer

10 kcal/oz

Answer

24 kcal/oz

Answer

30 kcal/oz

Question 5

Which sign indicates effective milk transfer during breastfeeding?

Accepted Answer

Audible swallowing heard after initial rapid sucking bursts

Answer

Infant makes frequent smacking sounds

Answer

Infant falls asleep within 2 minutes of latching

Answer

Mother reports tingling sensation only

Question 6

A nurse teaches a new mother about cluster feeding. Which statement best explains this behavior?

Accepted Answer

It is a normal pattern where the infant feeds very frequently for a period, often in the evening

Answer

It indicates the infant is not getting enough milk and formula should be added

Answer

Cluster feeding is a sign of developmental delay

Answer

It occurs only during growth spurts and should be discouraged