Question 1

The breastfeeding mother should be taught a safe method to remove the breast from the baby's mouth.Which suggestion by the nurse is most appropriate?

Accepted Answer

A)  Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed. 
B)  Break the suction by inserting your finger into the corner of the infant's mouth. 
C)  A popping sound occurs when the breast is correctly removed from the infant's mouth. 
D)  Elicit the Moro reflex to wake the baby and remove the breast when the baby cries. 
A)  Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed. 
B)  Break the suction by inserting your finger into the corner of the infant's mouth. 
C)  A popping sound occurs when the breast is correctly removed from the infant's mouth. 
D)  Elicit the Moro reflex to wake the baby and remove the breast when the baby cries.

Question 2

The nurse is evaluating the new mother's knowledge about appropriate infant bottle feeding techniques.Which statement by the client reassures the nurse that correct learning has taken place?

Accepted Answer

A)  "Since reaching 2 weeks of age,I add rice cereal to my daughter's formula to ensure adequate nutrition." 
B)  "I warm the bottle in my microwave oven." 
C)  "I burp my daughter during and after the feeding and as needed." 
D)  "I refrigerate any leftover formula for the next feeding." 
A)  "Since reaching 2 weeks of age,I add rice cereal to my daughter's formula to ensure adequate nutrition." 
B)  "I warm the bottle in my microwave oven." 
C)  "I burp my daughter during and after the feeding and as needed." 
D)  "I refrigerate any leftover formula for the next feeding."

Question 3

Parents have been asked by the neonatologist to provide breast milk for their newborn son,who was born prematurely at 32 weeks of gestation.The nurse who instructs them regarding pumping,storing,and transporting the milk needs to assess their knowledge of lactation.Which statement is a valid basis for the instructions?

Accepted Answer

A)  Premature infants more easily digest breast milk than formula. 
B)  A glass of wine just before pumping will help reduce stress and anxiety. 
C)  The mother should only pump as much milk as the infant can drink. 
D)  The mother should pump every 2 to 3 hours,including during the night. 
A)  Premature infants more easily digest breast milk than formula. 
B)  A glass of wine just before pumping will help reduce stress and anxiety. 
C)  The mother should only pump as much milk as the infant can drink. 
D)  The mother should pump every 2 to 3 hours,including during the night.

Question 4

A nurse is discussing the storage of breast milk with a mother whose infant is preterm and in the special care nursery.Which storage practice indicates that the mother requires additional teaching?

Accepted Answer

A)  Keeping breast milk in the deep freezer for up to 6 months. 
B)  Freezing breast milk for up to 3 months." 
C)  Allowing breast milk to sit at room temperature for up to 4 hours. 
D)  Storing breast milk in the refrigerator for up to 10 days." 
A)  Keeping breast milk in the deep freezer for up to 6 months. 
B)  Freezing breast milk for up to 3 months." 
C)  Allowing breast milk to sit at room temperature for up to 4 hours. 
D)  Storing breast milk in the refrigerator for up to 10 days."

Question 5

Which actions are examples of appropriate techniques to wake a sleepy infant for breastfeeding? (Select all that apply. )

Accepted Answer

A)  Unwrapping the infant 
B)  Changing the diaper 
C)  Talking to the infant 
D)  Slapping the infant's hands and feet 
E)  Applying a cold towel to the infant's abdomen 
A)  Unwrapping the infant 
B)  Changing the diaper 
C)  Talking to the infant 
D)  Slapping the infant's hands and feet 
E)  Applying a cold towel to the infant's abdomen

Question 6

A postpartum woman telephones the provider regarding her 5-day-old infant.The client is not scheduled for another weight check until the infant is 14 days old.The new mother is worried about whether breastfeeding is going well.Which statement indicates that breastfeeding is effective for meeting the infant's nutritional needs?

Accepted Answer

A)  Sleeps for 6 hours at a time between feedings 
B)  Has at least one breast milk stool every 24 hours 
C)  Gains 1 to 2 ounces per week 
D)  Has 3 bowel movements and eight wet diapers per day 
A)  Sleeps for 6 hours at a time between feedings 
B)  Has at least one breast milk stool every 24 hours 
C)  Gains 1 to 2 ounces per week 
D)  Has 3 bowel movements and eight wet diapers per day

Question 7

A pregnant woman wants to breastfeed her infant;however,her partner is not convinced that there are any scientific reasons to do so.The nurse can give the couple printed information comparing breastfeeding and bottle feeding.Which statement regarding bottle feeding using commercially prepared infant formulas might influence their choice?

Accepted Answer

A)  Bottle feeding using a commercially prepared formula increases the risk that the infant will develop allergies. 
B)  Bottle feeding helps the infant sleep through the night. 
C)  Commercially prepared formula ensures that the infant is getting iron in a form that is easily absorbed. 
D)  Bottle feeding requires that multivitamin supplements be given to the infant. 
A)  Bottle feeding using a commercially prepared formula increases the risk that the infant will develop allergies. 
B)  Bottle feeding helps the infant sleep through the night. 
C)  Commercially prepared formula ensures that the infant is getting iron in a form that is easily absorbed. 
D)  Bottle feeding requires that multivitamin supplements be given to the infant.

Exam 25: Newborn Nutrition and Feeding

The breastfeeding mother should be taught a safe method to remove the breast from the baby's mouth.Which suggestion by the nurse is most appropriate?

The nurse is evaluating the new mother's knowledge about appropriate infant bottle feeding techniques.Which statement by the client reassures the nurse that correct learning has taken place?

A nurse is discussing the storage of breast milk with a mother whose infant is preterm and in the special care nursery.Which storage practice indicates that the mother requires additional teaching?

Which actions are examples of appropriate techniques to wake a sleepy infant for breastfeeding? (Select all that apply. )

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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