1. 3. A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply.): Answer: A. Monitor the the infant's weight and number of wet diapers per day. - child should at least have 6 wet diapers per day. B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is always fatigue, need to increase to 30 oz a day D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is always fatigue, this will ensure adequate feeding. E. Use a softer nipple or increase the size of the nipple opening.- this will save energy 2. 33. A 15-year-old girl tells the school nurse that all of her friends have started their periods and she feels abnormal because she has not. Which response is best for the nurse provide?: Answer: Explain that menarche varies and occurs between the ages of 12 and 18 years. 3. 81. Which finding in a 19-year-old female client should trigger further assessment by the nurse?: