NCLEX-PN® ExaminationHealth Promotion and MaintenanceMedium
A new mother is expressing concerns about her newborn's feeding patterns and is unsure if the baby is getting enough milk. The practical nurse is providing education on signs of adequate feeding for breastfed infants. Which finding indicates the newborn is likely receiving sufficient nourishment?
- ASleeping for 6-8 hours continuously between feedings.
- BHaving at least 6-8 wet diapers and 3-4 bowel movements per day by day 5.
- CCrying frequently immediately after most feedings.
- DUrinating 1-2 times in 24 hours and passing meconium stools.
Show answer & explanationAnswer & explanation
Correct answer: B. Having at least 6-8 wet diapers and 3-4 bowel movements per day by day 5.
By day 5, a well-hydrated and adequately fed breastfed infant should have 6-8 wet diapers and 3-4 bowel movements that have transitioned from meconium to yellowish, seedy stools.
Why the other options are wrong
- A. Newborns typically feed every 2-3 hours; continuous sleep for 6-8 hours may indicate inadequate intake or jaundice.
- C. Frequent crying after feedings suggests hunger or discomfort, not adequate nourishment.
- D. This is insufficient output for a healthy, adequately fed newborn beyond the first few days.
Signs of Adequate Newborn Feeding
Observable indicators that a breastfed or bottle-fed newborn is receiving sufficient milk and is well-hydrated.
- Weight gain after initial loss.
- Appropriate number of wet diapers and bowel movements.
- Audible swallowing during feeding.
Memory trick: Wet diapers and poop are proof of proper provision.