Newborn And Infant Care Support Practice Test

A 24-hour-old newborn (39 weeks; vaginal birth; mother plans to breastfeed) weighs 3.4 kg. The mother reports the infant is sleepy and feeds briefly; the infant has had 1 wet diaper since birth. Current vital signs: temperature 36.5°C, heart rate 148/min, respiratory rate 50/min. Which finding requires immediate nursing action to support successful breastfeeding?

A 5-day-old newborn (40 weeks; uncomplicated birth) is being treated with phototherapy for jaundice. Current assessment: weight 3.3 kg, feeding 45–60 mL expressed breast milk every 3 hours, temperature 37.4°C, heart rate 150/min, respiratory rate 46/min; total serum bilirubin this morning is 16 mg/dL. Which finding requires immediate nursing action during phototherapy?