NP Cert Exam - Pediatrics
1. Which of the following is 1. Correct: D. "The baby's urine should be light or
appropriate advice to give to a colorless.
mother who is breastfeeding her 10- Urine that is light and colorless is a good indication that
day-old the baby is well hydrated and feeding sufficiently (D).
infant? Incorrect:
A. "Your milk will come in today. The transition from colostrum to mature milk typically
B. "To minimize breast tenderness, the occurs between days 2 to 5 after childbirth and not 10 days after birth (
baby should not be kept on either Proper breastfeeding of the newborn
breast for more than 5 to should have a minimum of 10 minutes on each breast
10 minutes.?" every 1.5 to 3 hours (B). A clicking sound made during
C. "A clicking sound made by the baby nursing would indicate an improper latch (C).
during feedings signifies a good latch
and suck"
D. "The baby's urine should be light or
colorless."
, NP Cert Exam - Pediatrics
2. Correct: B. "The baby might need to be awakened to
2. Which of the following is
be fed.?'
appropriate advice to give to a
A newborn who is breastfed should feed every 1.5 to
mother who is breastfeeding her 12-
3 hours (about 8 to 12 times per day), which may require
hour-old infant?
waking the baby to ensure adequate feeding (B).
A. "You will likely have enough milk to
Incorrect:
feed the baby within a few hours of
The transition from colostrum to mature milk typically
birth."
occurs between days 2 and 5 after childbirth (A). How-
B. "The baby might need to be
ever, supplemental feeding with formula or dextrose and
awakened to be fed."
water should be avoided as this will interfere with the
"Supplemental feeding is needed
baby's hunger drive to breastfeed and can delay or reduce
unless the baby has at least four wet
production of breast milk (C). The first bowel movements
diapers in the first day of life?
of the newborn consist of meconium, which is a thick, black or dark gre
D. "The baby will likely have a seedy,
substance that eventually transitions
yellow bowel movement today.?"
to a yellow-green stool (D).
, NP Cert Exam - Pediatrics
3. Correct: B. greater weight gain in the first few weeks
of life.
Newborns that are formula-fed typically have greater
3. Compared with the use of infant
weight gain during the first few weeks of life when com-
formula, advantages for the breastfed
pared to breastfed babies (B). However, the overall benefits
baby include all of the following
of breastfeeding far outweigh this small difference in weight
except:
gain, and this likely represents excessive weight gain.
A. lower incidence of diarrheal illness.
Incorrect:
B. greater weight gain in the first few
Breastfeeding offers several benefits to the newborn as
weeks of life.
it provides the ideal form of nutrition and transfers the
C. reduced risk of allergic disorders.
mother's antibodies to the infant to help prevent disease.
D. lower occurrence of constipation.
Breastfed infants have been shown to have a lower inci
dence of diarrheal illness (A), a lower risk of allergic dis-
orders (C), and a lower occurrence of constipation (D).
, NP Cert Exam - Pediatrics
4. At 3 weeks of age, the average- 4. Correct: A. 2 to 3 oz, or 60 to 90 mL, every 2 to 3 hours.
weight, formula-fed infant should be During the first month of life, a formula-fed infant should
expected to take: be expected to consume 2 to 3 oz of formula every 2 to
A. 2 to 3 oz, or 60 to 90 mL, every 2 to 3 hours (A). For breastfed infants, feeding should occur
3 hours. at least 10 minutes on each breast every 1.5 to 3 hours.
B. 2 to 3 oz, or 60 to 90 mL, every 3 to Incorrect:
4 hours. A newborn infant that is formula-fed should be fed
C. 3 to 4 oz, or 90 to 118 mL, every 2 to approximately every 2 to 3 hours (B, D) and would expect
3 hours. to take 2 to 3 oz at each feeding (C).
D. 3 to 4 oz, or 90 to 118 mL, every 3 to
4 hours.
1. Which of the following is 1. Correct: D. "The baby's urine should be light or
appropriate advice to give to a colorless.
mother who is breastfeeding her 10- Urine that is light and colorless is a good indication that
day-old the baby is well hydrated and feeding sufficiently (D).
infant? Incorrect:
A. "Your milk will come in today. The transition from colostrum to mature milk typically
B. "To minimize breast tenderness, the occurs between days 2 to 5 after childbirth and not 10 days after birth (
baby should not be kept on either Proper breastfeeding of the newborn
breast for more than 5 to should have a minimum of 10 minutes on each breast
10 minutes.?" every 1.5 to 3 hours (B). A clicking sound made during
C. "A clicking sound made by the baby nursing would indicate an improper latch (C).
during feedings signifies a good latch
and suck"
D. "The baby's urine should be light or
colorless."
, NP Cert Exam - Pediatrics
2. Correct: B. "The baby might need to be awakened to
2. Which of the following is
be fed.?'
appropriate advice to give to a
A newborn who is breastfed should feed every 1.5 to
mother who is breastfeeding her 12-
3 hours (about 8 to 12 times per day), which may require
hour-old infant?
waking the baby to ensure adequate feeding (B).
A. "You will likely have enough milk to
Incorrect:
feed the baby within a few hours of
The transition from colostrum to mature milk typically
birth."
occurs between days 2 and 5 after childbirth (A). How-
B. "The baby might need to be
ever, supplemental feeding with formula or dextrose and
awakened to be fed."
water should be avoided as this will interfere with the
"Supplemental feeding is needed
baby's hunger drive to breastfeed and can delay or reduce
unless the baby has at least four wet
production of breast milk (C). The first bowel movements
diapers in the first day of life?
of the newborn consist of meconium, which is a thick, black or dark gre
D. "The baby will likely have a seedy,
substance that eventually transitions
yellow bowel movement today.?"
to a yellow-green stool (D).
, NP Cert Exam - Pediatrics
3. Correct: B. greater weight gain in the first few weeks
of life.
Newborns that are formula-fed typically have greater
3. Compared with the use of infant
weight gain during the first few weeks of life when com-
formula, advantages for the breastfed
pared to breastfed babies (B). However, the overall benefits
baby include all of the following
of breastfeeding far outweigh this small difference in weight
except:
gain, and this likely represents excessive weight gain.
A. lower incidence of diarrheal illness.
Incorrect:
B. greater weight gain in the first few
Breastfeeding offers several benefits to the newborn as
weeks of life.
it provides the ideal form of nutrition and transfers the
C. reduced risk of allergic disorders.
mother's antibodies to the infant to help prevent disease.
D. lower occurrence of constipation.
Breastfed infants have been shown to have a lower inci
dence of diarrheal illness (A), a lower risk of allergic dis-
orders (C), and a lower occurrence of constipation (D).
, NP Cert Exam - Pediatrics
4. At 3 weeks of age, the average- 4. Correct: A. 2 to 3 oz, or 60 to 90 mL, every 2 to 3 hours.
weight, formula-fed infant should be During the first month of life, a formula-fed infant should
expected to take: be expected to consume 2 to 3 oz of formula every 2 to
A. 2 to 3 oz, or 60 to 90 mL, every 2 to 3 hours (A). For breastfed infants, feeding should occur
3 hours. at least 10 minutes on each breast every 1.5 to 3 hours.
B. 2 to 3 oz, or 60 to 90 mL, every 3 to Incorrect:
4 hours. A newborn infant that is formula-fed should be fed
C. 3 to 4 oz, or 90 to 118 mL, every 2 to approximately every 2 to 3 hours (B, D) and would expect
3 hours. to take 2 to 3 oz at each feeding (C).
D. 3 to 4 oz, or 90 to 118 mL, every 3 to
4 hours.
