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

Question 1

Which is the most reliable indicator that a breastfeeding newborn is receiving adequate milk intake?

Accepted Answer

6–8 wet diapers per day after day 4

Answer

Infant sleeps more than 4 hours between feedings

Answer

Mother reports no breast engorgement

Answer

Infant's skin remains slightly jaundiced

Question 2

What is the recommended feeding frequency for a healthy term breastfed newborn in the first weeks of life?

Accepted Answer

8–12 times per 24 hours on demand

Answer

Every 4–5 hours on a strict schedule

Answer

Every 6 hours to allow full digestion

Answer

Only when the infant cries persistently

Question 3

A nurse observes a newborn with a shallow latch during breastfeeding. Which action is the priority?

Accepted Answer

Assist the mother to reposition and achieve a deeper latch

Answer

Supplement immediately with formula

Answer

Apply nipple shield without instruction

Answer

Document and reassess in 4 hours

Question 4

Which finding in a 3-day-old newborn requires further evaluation before attributing weight loss to normal physiologic changes?

Accepted Answer

Weight loss greater than 10% of birth weight

Answer

Weight loss of 4% of birth weight

Answer

Transitional stool present

Answer

Mild jaundice at 48 hours

Question 5

When is iron-fortified infant formula the appropriate choice for a newborn?

Accepted Answer

When the mother chooses not to breastfeed or cannot breastfeed

Answer

Only if the infant is premature

Answer

As a supplement to every breastfeeding session

Answer

When the infant has hyperbilirubinemia

Question 6

Which maternal condition is a contraindication to breastfeeding in the United States?

Accepted Answer

HIV-positive status

Answer

Gestational diabetes resolved postpartum

Answer

History of mastitis in a prior pregnancy

Answer

Mild postpartum depression on SSRIs