Question 1

The cultural group in the United States that is most likely to breastfeed are non-Hispanic black women.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 2

A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding.What signs and symptoms should the nurse include in her discussion? Select all that apply.

Accepted Answer

A)  Breast tenderness 
B)  Warmth in the breast 
C)  An area of redness on the breast often resembling the shape of a pie wedge 
D)  A small white blister on the tip of the nipple 
E)  Fever and flulike symptoms 
A)  Breast tenderness 
B)  Warmth in the breast 
C)  An area of redness on the breast often resembling the shape of a pie wedge 
D)  A small white blister on the tip of the nipple 
E)  Fever and flulike symptoms

Question 3

How can the nurse help the mother who is breastfeeding and has engorged breasts?

Accepted Answer

A)  Suggest that she switch to bottled formula just for today. 
B)  Assist her into removing her bra, making her more comfortable. 
C)  Apply heat to her breasts between feeding and cold to the breasts just before feedings. 
D)  Instruct and assist the mother to massage her breasts. 
A)  Suggest that she switch to bottled formula just for today. 
B)  Assist her into removing her bra, making her more comfortable. 
C)  Apply heat to her breasts between feeding and cold to the breasts just before feedings. 
D)  Instruct and assist the mother to massage her breasts.

Question 4

An important aspect about storage of breast milk is that it

Accepted Answer

A)  Can be frozen for up to 2 months 
B)  Should be stored only in glass bottles 
C)  Can be thawed and refrozen 
D)  Can be kept refrigerated for 48 hours 
A)  Can be frozen for up to 2 months 
B)  Should be stored only in glass bottles 
C)  Can be thawed and refrozen 
D)  Can be kept refrigerated for 48 hours

Question 5

How many ounces will a formula fed infant who is on a 4-hour feeding schedule need to consume at each feeding to meet daily caloric needs?

Accepted Answer

A)  0.5 to 1 
B)  1 to 2 
C)  2 to 3 
D)  4 
A)  0.5 to 1 
B)  1 to 2 
C)  2 to 3 
D)  4

Question 6

Many types of breast pumps are available,varying in price and effectiveness.Before either renting or purchasing a pump,the new mother would benefit from counseling by a nurse or lactation consultant to determine the most appropriate pump to suit her needs.The mother who is pumping for an occasional bottle would be most suited for which type of pump?

Accepted Answer

A)  Manual or hand pump 
B)  Hospital grade pump 
C)  Electric self-cycling double pumps 
D)  Smaller electric or battery operated pump 
A)  Manual or hand pump 
B)  Hospital grade pump 
C)  Electric self-cycling double pumps 
D)  Smaller electric or battery operated pump

Question 7

To prevent breast engorgement,the new breastfeeding mother should be instructed to

Accepted Answer

A)  Apply cold packs to the breast before feeding. 
B)  Breastfeed frequently and for adequate lengths of time. 
C)  Limit her intake of fluids for the first few days. 
D)  Feed her infant no more than every 4 hours. 
A)  Apply cold packs to the breast before feeding. 
B)  Breastfeed frequently and for adequate lengths of time. 
C)  Limit her intake of fluids for the first few days. 
D)  Feed her infant no more than every 4 hours.

Question 8

Late in pregnancy,the woman's breasts should be assessed by the nurse to identify any potential concerns related to breastfeeding.Some nipple conditions make it necessary to provide intervention before birth.These include (select all that apply)

Accepted Answer

A)  Everted nipples 
B)  Flat nipples 
C)  Inverted nipples 
D)  Nipples that contract when compressed 
E)  Cracked nipples 
A)  Everted nipples 
B)  Flat nipples 
C)  Inverted nipples 
D)  Nipples that contract when compressed 
E)  Cracked nipples

Question 9

To initiate the milk ejection reflex,the mother should

Accepted Answer

A)  Wear a firm-fitting bra. 
B)  Drink plenty of fluids. 
C)  Place the infant to the breast 
D)  Apply cool packs to her breast. 
A)  Wear a firm-fitting bra. 
B)  Drink plenty of fluids. 
C)  Place the infant to the breast 
D)  Apply cool packs to her breast.

Question 10

What is the first step in assisting the breastfeeding mother?

Accepted Answer

A)  Provide instruction on the composition of breast milk. 
B)  Discuss the hormonal changes that trigger the milk ejection reflex. 
C)  Assess the woman's knowledge of breastfeeding. 
D)  Help her obtain a comfortable position and place the infant to the breast. 
A)  Provide instruction on the composition of breast milk. 
B)  Discuss the hormonal changes that trigger the milk ejection reflex. 
C)  Assess the woman's knowledge of breastfeeding. 
D)  Help her obtain a comfortable position and place the infant to the breast.

Question 11

What information about iron supplementation should the nurse teach a new mother?

Accepted Answer

A)  Start iron supplementation shortly after birth if the infant is breastfeeding exclusively. 
B)  Iron-fortified formula will meet the infant's iron requirements. 
C)  Iron supplements must be given when the infant begins teething. 
D)  Infants need a multivitamin with iron every day. 
A)  Start iron supplementation shortly after birth if the infant is breastfeeding exclusively. 
B)  Iron-fortified formula will meet the infant's iron requirements. 
C)  Iron supplements must be given when the infant begins teething. 
D)  Infants need a multivitamin with iron every day.

Question 12

The nurse should explain to new parents that the most serious consequence of propping an infant's bottle is

Accepted Answer

A)  Dental caries 
B)  Aspiration 
C)  Ear infections 
D)  Colic 
A)  Dental caries 
B)  Aspiration 
C)  Ear infections 
D)  Colic

Question 13

A breastfeeding mother who was discharged yesterday calls to ask about a tender,hard area on her right breast.The nurse's first response should be

Accepted Answer

A)  "Try massaging the area and apply heat, as this is probably a plugged duct." 
B)  "Stop breastfeeding because you probably have an infection." 
C)  "Notify your doctor so he can start you on antibiotics." 
D)  "This is a normal response in breastfeeding mothers." 
A)  "Try massaging the area and apply heat, as this is probably a plugged duct." 
B)  "Stop breastfeeding because you probably have an infection." 
C)  "Notify your doctor so he can start you on antibiotics." 
D)  "This is a normal response in breastfeeding mothers."

Question 14

The nurse providing couplet care should understand that nipple confusion results when

Accepted Answer

A)  Breastfeeding babies receive supplementary bottle feedings. 
B)  The baby is weaned too abruptly. 
C)  Pacifiers are used before breastfeeding is established. 
D)  Twins are breastfed together. 
A)  Breastfeeding babies receive supplementary bottle feedings. 
B)  The baby is weaned too abruptly. 
C)  Pacifiers are used before breastfeeding is established. 
D)  Twins are breastfed together.

Question 15

The hormone necessary for milk production is

Accepted Answer

A)  Estrogen 
B)  Prolactin 
C)  Progesterone 
D)  Lactogen 
A)  Estrogen 
B)  Prolactin 
C)  Progesterone 
D)  Lactogen

Question 16

A new mother recalls from prenatal class that she should try to feed her newborn daughter when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically.Based on this information,this woman should feed her infant about every 2.5 to 3 hours when she

Accepted Answer

A)  Waves her arms in the air 
B)  Makes sucking motions 
C)  Has hiccups 
D)  Stretches out her legs straight 
A)  Waves her arms in the air 
B)  Makes sucking motions 
C)  Has hiccups 
D)  Stretches out her legs straight

Question 17

When responding to the question "Will I produce enough milk for my baby as she grows and needs more milk at each feeding?" the nurse should explain that

Accepted Answer

A)  The breast milk will gradually become richer to supply additional calories. 
B)  As the infant requires more milk, feedings can be supplemented with cow's milk. 
C)  Early addition of baby food will meet the infant's needs. 
D)  The mother's milk supply will increase as the infant demands more at each feeding. 
A)  The breast milk will gradually become richer to supply additional calories. 
B)  As the infant requires more milk, feedings can be supplemented with cow's milk. 
C)  Early addition of baby food will meet the infant's needs. 
D)  The mother's milk supply will increase as the infant demands more at each feeding.

Exam 23: Newborn Feeding

The cultural group in the United States that is most likely to breastfeed are non-Hispanic black women.Is this statement true or false?

A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding.What signs and symptoms should the nurse include in her discussion? Select all that apply.

How can the nurse help the mother who is breastfeeding and has engorged breasts?

An important aspect about storage of breast milk is that it

How many ounces will a formula fed infant who is on a 4-hour feeding schedule need to consume at each feeding to meet daily caloric needs?

To prevent breast engorgement,the new breastfeeding mother should be instructed to

Late in pregnancy,the woman's breasts should be assessed by the nurse to identify any potential concerns related to breastfeeding.Some nipple conditions make it necessary to provide intervention before birth.These include (select all that apply)

To initiate the milk ejection reflex,the mother should

What is the first step in assisting the breastfeeding mother?

What information about iron supplementation should the nurse teach a new mother?

The nurse should explain to new parents that the most serious consequence of propping an infant's bottle is

A breastfeeding mother who was discharged yesterday calls to ask about a tender,hard area on her right breast.The nurse's first response should be

The nurse providing couplet care should understand that nipple confusion results when

The hormone necessary for milk production is

A new mother recalls from prenatal class that she should try to feed her newborn daughter when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically.Based on this information,this woman should feed her infant about every 2.5 to 3 hours when she

When responding to the question "Will I produce enough milk for my baby as she grows and needs more milk at each feeding?" the nurse should explain that

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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