Question 1

Which statement regarding the nutrient needs of breastfed infants is correct?

Accepted Answer

A)  Breastfed infants need extra water in hot climates. 
B)  During the first 3 months, breastfed infants consume more energy than formula-fed infants. 
C)  Breastfeeding infants should receive oral vitamin D drops daily during at least the first 2 months. 
D)  Vitamin K injections at birth are not necessary for breastfed infants. 
A)  Breastfed infants need extra water in hot climates. 
B)  During the first 3 months, breastfed infants consume more energy than formula-fed infants. 
C)  Breastfeeding infants should receive oral vitamin D drops daily during at least the first 2 months. 
D)  Vitamin K injections at birth are not necessary for breastfed infants. C

Question 2

A new mother wants to be sure that she is meeting her daughter's needs while feeding the baby commercially prepared infant formula.The nurse should evaluate the mother's knowledge about appropriate infant 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 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 as needed." 
D)  "I refrigerate any leftover formula for the next feeding." C

Question 3

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

Accepted Answer

A)  "I can store my breast milk in the refrigerator for 3 months." 
B)  "I can store my breast milk in the freezer for 3 months." 
C)  "I can store my breast milk at room temperature for 4 hours." 
D)  "I can store my breast milk in the refrigerator for 3 to 5 days." 
A)  "I can store my breast milk in the refrigerator for 3 months." 
B)  "I can store my breast milk in the freezer for 3 months." 
C)  "I can store my breast milk at room temperature for 4 hours." 
D)  "I can store my breast milk in the refrigerator for 3 to 5 days." A

Question 4

Which type of formula is not diluted with water,before being administered to an infant?

Accepted Answer

A)  Powdered 
B)  Concentrated 
C)  Ready-to-use 
D)  Modified cow's milk 
A)  Powdered 
B)  Concentrated 
C)  Ready-to-use 
D)  Modified cow's milk

Question 5

The AAP recommends pasteurized donor milk for preterm infants if the mother's own milk in not available.Which statements regarding donor milk and milk banking are important for the nurse to understand and communicate to her client?
(Select all that apply).

Accepted Answer

A)  All milk bank donors are screened for communicable diseases. 
B)  Internet milk sharing is an acceptable source for donor milk. 
C)  Donor milk may be given to transplant clients. 
D)  Donor milk is used in neonatal intensive care units (NICUs) for severely low-birth-weight infants only. 
E)  Donor milk may be used for children with immunoglobulin A (Ig
A)  deficiencies. 
A)  All milk bank donors are screened for communicable diseases. 
B)  Internet milk sharing is an acceptable source for donor milk. 
C)  Donor milk may be given to transplant clients. 
D)  Donor milk is used in neonatal intensive care units (NICUs) for severely low-birth-weight infants only. 
E)  Donor milk may be used for children with immunoglobulin A (Ig
A)  deficiencies.

Question 6

At a 2-month well-baby examination,it was discovered that an exclusively breastfed infant had only gained 10 ounces in the past 4 weeks.The mother and the nurse develop a feeding plan for the infant to increase his weight gain.Which change in dietary management will assist the client in meeting this goal?

Accepted Answer

A)  Begin solid foods. 
B)  Have a bottle of formula after every feeding. 
C)  Have one extra breastfeeding session every 24 hours. 
D)  Start iron supplements. 
A)  Begin solid foods. 
B)  Have a bottle of formula after every feeding. 
C)  Have one extra breastfeeding session every 24 hours. 
D)  Start iron supplements.

Question 7

A new mother asks whether she should feed her newborn colostrum,because it is not "real milk." What is the nurse's most appropriate answer?

Accepted Answer

A)  Colostrum is high in antibodies, protein, vitamins, and minerals. 
B)  Colostrum is lower in calories than milk and should be supplemented by formula. 
C)  Giving colostrum is important in helping the mother learn how to breastfeed before she goes home. 
D)  Colostrum is unnecessary for newborns. 
A)  Colostrum is high in antibodies, protein, vitamins, and minerals. 
B)  Colostrum is lower in calories than milk and should be supplemented by formula. 
C)  Giving colostrum is important in helping the mother learn how to breastfeed before she goes home. 
D)  Colostrum is unnecessary for newborns.

Question 8

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 valid?

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 9

A newly delivered mother who intends to breastfeed tells her nurse,"I am so relieved that this pregnancy is over so that I can start smoking again." The nurse encourages the client to refrain from smoking.However,this new mother is insistent that she will resume smoking.How will the nurse adapt her health teaching with this new information?

Accepted Answer

A)  Smoking has little-to-no effect on milk production. 
B)  No relationship exists between smoking and the time of feedings. 
C)  The effects of secondhand smoke on infants are less significant than for adults. 
D)  The mother should always smoke in another room. 
A)  Smoking has little-to-no effect on milk production. 
B)  No relationship exists between smoking and the time of feedings. 
C)  The effects of secondhand smoke on infants are less significant than for adults. 
D)  The mother should always smoke in another room.

Question 10

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 at least six to 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 at least six to eight wet diapers per day

Question 11

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 12

The nurse is explaining the benefits associated with breastfeeding to a new mother.Which statement by the nurse would provide conflicting information to the client?

Accepted Answer

A)  Women who breastfeed have a decreased risk of breast cancer. 
B)  Breastfeeding is an effective method of birth control. 
C)  Breastfeeding increases bone density. 
D)  Breastfeeding may enhance postpartum weight loss. 
A)  Women who breastfeed have a decreased risk of breast cancer. 
B)  Breastfeeding is an effective method of birth control. 
C)  Breastfeeding increases bone density. 
D)  Breastfeeding may enhance postpartum weight loss.

Question 13

Which statement is the best rationale for recommending formula over breastfeeding?

Accepted Answer

A)  Mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk. 
B)  Mother lacks confidence in her ability to breastfeed. 
C)  Other family members or care providers also need to feed the baby. 
D)  Mother sees bottle feeding as more convenient. 
A)  Mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk. 
B)  Mother lacks confidence in her ability to breastfeed. 
C)  Other family members or care providers also need to feed the baby. 
D)  Mother sees bottle feeding as more convenient.

Question 14

A pregnant woman wants to breastfeed her infant; however,her husband 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.

Question 15

Which action by the mother will initiate the milk ejection reflex (MER)?

Accepted Answer

A)  Wearing a firm-fitting bra 
B)  Drinking plenty of fluids 
C)  Placing the infant to the breast 
D)  Applying cool packs to her breast 
A)  Wearing a firm-fitting bra 
B)  Drinking plenty of fluids 
C)  Placing the infant to the breast 
D)  Applying cool packs to her breast

Question 16

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

Accepted Answer

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

Question 17

The Baby Friendly Hospital Initiative endorsed by the World Health Organization (WHO)and the United Nations Children's Fund (UNICEF)was founded to encourage institutions to offer optimal levels of care for lactating mothers.Which actions are included in the "Ten Steps to Successful Breastfeeding for Hospitals"?
(Select all that apply).

Accepted Answer

A)  Give newborns no food or drink other than breast milk. 
B)  Have a written breastfeeding policy that is communicated to all staff members. 
C)  Help mothers initiate breastfeeding within ½ hour of childbirth. 
D)  Give artificial teats or pacifiers as necessary. 
E)  Return infants to the nursery at night. 
A)  Give newborns no food or drink other than breast milk. 
B)  Have a written breastfeeding policy that is communicated to all staff members. 
C)  Help mothers initiate breastfeeding within ½ hour of childbirth. 
D)  Give artificial teats or pacifiers as necessary. 
E)  Return infants to the nursery at night.

Question 18

According to demographic research,which woman is least likely to breastfeed and therefore most likely to need education regarding the benefits and proper techniques of breastfeeding?

Accepted Answer

A)  Between 30 and 35 years of age, Caucasian, and employed part time outside the home 
B)  Younger than 25 years of age, Hispanic, and unemployed 
C)  Younger than 25 years of age, African-American, and employed full time outside the home 
D)  35 years of age or older, Caucasian, and employed full time at home 
A)  Between 30 and 35 years of age, Caucasian, and employed part time outside the home 
B)  Younger than 25 years of age, Hispanic, and unemployed 
C)  Younger than 25 years of age, African-American, and employed full time outside the home 
D)  35 years of age or older, Caucasian, and employed full time at home

Question 19

A new father is ready to take his wife and newborn son home.He proudly tells the nurse who is discharging them that within the next week he plans to start feeding the infant cereal between breastfeeding sessions.Which information should the nurse provide regarding this feeding plan?

Accepted Answer

A)  "Feeding solid foods before your son is 4 to 6 months old may decrease your son's intake of sufficient calories." 
B)  "Feeding solid foods between breastfeeding sessions before your son is 4 to 6 months old will lead to an early cessation of breastfeeding." 
C)  "Your feeding plan will help your son sleep through the night." 
D)  "Feeding solid foods before your son is 4 to 6 months old will limit his growth." 
A)  "Feeding solid foods before your son is 4 to 6 months old may decrease your son's intake of sufficient calories." 
B)  "Feeding solid foods between breastfeeding sessions before your son is 4 to 6 months old will lead to an early cessation of breastfeeding." 
C)  "Your feeding plan will help your son sleep through the night." 
D)  "Feeding solid foods before your son is 4 to 6 months old will limit his growth."

Question 20

Which information should the nurse provide to a breastfeeding mother regarding optimal self-care?

Accepted Answer

A)  She will need an extra 1000 calories a day to maintain energy and produce milk. 
B)  She can return to prepregnancy consumption patterns of any drinks as long as she gets enough calcium. 
C)  She should avoid trying to lose large amounts of weight. 
D)  She must avoid exercising because it is too fatiguing. 
A)  She will need an extra 1000 calories a day to maintain energy and produce milk. 
B)  She can return to prepregnancy consumption patterns of any drinks as long as she gets enough calcium. 
C)  She should avoid trying to lose large amounts of weight. 
D)  She must avoid exercising because it is too fatiguing.

Exam 25: Newborn Nutrition and Feeding

Which statement regarding the nutrient needs of breastfed infants is correct?

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

Which type of formula is not diluted with water,before being administered to an infant?

The AAP recommends pasteurized donor milk for preterm infants if the mother's own milk in not available.Which statements regarding donor milk and milk banking are important for the nurse to understand and communicate to her client? (Select all that apply).

A new mother asks whether she should feed her newborn colostrum,because it is not "real milk." What is the nurse's most appropriate answer?

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 valid?

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 explaining the benefits associated with breastfeeding to a new mother.Which statement by the nurse would provide conflicting information to the client?

Which statement is the best rationale for recommending formula over breastfeeding?

Which action by the mother will initiate the milk ejection reflex (MER)?

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

According to demographic research,which woman is least likely to breastfeed and therefore most likely to need education regarding the benefits and proper techniques of breastfeeding?

A new father is ready to take his wife and newborn son home.He proudly tells the nurse who is discharging them that within the next week he plans to start feeding the infant cereal between breastfeeding sessions.Which information should the nurse provide regarding this feeding plan?

Which information should the nurse provide to a breastfeeding mother regarding optimal self-care?

21st Century Maternity and Women’s 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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