Question 1

Which is the hormone necessary for milk production?

Accepted Answer

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

Question 2

A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's best response?

Accepted Answer

A)  "Are you concerned about your ability to adequately nurse your baby?" 
B)  "Do you eat a well-balanced diet, high in protein and carbohydrates?" 
C)  "Breast milk is low in vitamin D and supplementation with 400 IU is recommended." 
D)  "Your breast milk has all the vitamins and will adequately meet your baby's needs." 
A)  "Are you concerned about your ability to adequately nurse your baby?" 
B)  "Do you eat a well-balanced diet, high in protein and carbohydrates?" 
C)  "Breast milk is low in vitamin D and supplementation with 400 IU is recommended." 
D)  "Your breast milk has all the vitamins and will adequately meet your baby's needs."

Question 3

How many milliliters per kilogram (mL/kg) of fluids does a newborn need daily for the first 3 to 5 days of life?

Accepted Answer

A)  20 to 30 
B)  40 to 60 
C)  60 to 100 
D)  120 to 150 
A)  20 to 30 
B)  40 to 60 
C)  60 to 100 
D)  120 to 150

Question 4

A mother is breastfeeding her newborn infant but is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The best nursing response would be to:

Accepted Answer

A)  tell the client to wear a bra at all times to provide more support to breast tissue. 
B)  have the client put the infant to her breast more frequently. 
C)  place ice packs on breast tissue after infant feeding. 
D)  explain that this is a normal finding and will resolve as her breast tissue becomes more used to nursing. 
A)  tell the client to wear a bra at all times to provide more support to breast tissue. 
B)  have the client put the infant to her breast more frequently. 
C)  place ice packs on breast tissue after infant feeding. 
D)  explain that this is a normal finding and will resolve as her breast tissue becomes more used to nursing.

Question 5

A new mother asks why she has to open a new bottle of formula for each feeding. What is the nurse's best response?

Accepted Answer

A)  "Formula may turn sour after it is opened." 
B)  "Bacteria can grow rapidly in warm milk." 
C)  "Formula loses some nutritional value once it is opened." 
D)  "This makes it easier to keep track of how much the baby is taking." 
A)  "Formula may turn sour after it is opened." 
B)  "Bacteria can grow rapidly in warm milk." 
C)  "Formula loses some nutritional value once it is opened." 
D)  "This makes it easier to keep track of how much the baby is taking."

Question 6

A new mother is concerned because her 1-day-old newborn is taking only 1 oz at each feeding. What should the nurse explain?

Accepted Answer

A)  The infant is probably having difficulty adjusting to the formula. 
B)  An infant does not require as much formula in the first few days of life. 
C)  The infant's stomach capacity is small at birth but will expand within a few days. 
D)  The infant tires easily during the first few days but will gradually take more formula. 
A)  The infant is probably having difficulty adjusting to the formula. 
B)  An infant does not require as much formula in the first few days of life. 
C)  The infant's stomach capacity is small at birth but will expand within a few days. 
D)  The infant tires easily during the first few days but will gradually take more formula.

Question 7

The client should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?

Accepted Answer

A)  Unwrap and gently arouse the infant. 
B)  Wait an hour and attempt to feed again. 
C)  Try offering a bottle at the next feeding. 
D)  Put the infant in the crib and try again later. 
A)  Unwrap and gently arouse the infant. 
B)  Wait an hour and attempt to feed again. 
C)  Try offering a bottle at the next feeding. 
D)  Put the infant in the crib and try again later.

Question 8

A client who is receiving a pitocin (Oxytocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?

Accepted Answer

A)  Increase the rate of pitocin infusion to help spread out the contraction pattern. 
B)  Place oxygen on the client at 8 to 10 L/min via face mask and turn the client to her left side. 
C)  Stop the pitocin infusion. 
D)  Call the physician to obtain an order for the initiation of magnesium sulfate. 
A)  Increase the rate of pitocin infusion to help spread out the contraction pattern. 
B)  Place oxygen on the client at 8 to 10 L/min via face mask and turn the client to her left side. 
C)  Stop the pitocin infusion. 
D)  Call the physician to obtain an order for the initiation of magnesium sulfate.

Question 9

In which condition is breastfeeding contraindicated?

Accepted Answer

A)  Triplet birth 
B)  Flat or inverted nipples 
C)  Human immunodeficiency virus infection 
D)  Inactive, previously treated tuberculosis 
A)  Triplet birth 
B)  Flat or inverted nipples 
C)  Human immunodeficiency virus infection 
D)  Inactive, previously treated tuberculosis

Question 10

Which is an important consideration in positioning a newborn for breastfeeding?

Accepted Answer

A)  Placing the infant at nipple level facing the breast 
B)  Keeping the infant's head slightly lower than the body 
C)  Using the forefinger and middle finger to support the breast 
D)  Limiting the amount of areola the infant takes into the mouth 
A)  Placing the infant at nipple level facing the breast 
B)  Keeping the infant's head slightly lower than the body 
C)  Using the forefinger and middle finger to support the breast 
D)  Limiting the amount of areola the infant takes into the mouth

Question 11

As the nurse assists a new mother with breastfeeding, the mother asks, "If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?" The nurse's best response is that it contains:

Accepted Answer

A)  more calcium. 
B)  more calories. 
C)  essential amino acids. 
D)  important immunoglobulins. 
A)  more calcium. 
B)  more calories. 
C)  essential amino acids. 
D)  important immunoglobulins.

Question 12

A new mother is preparing for discharge. She plans on bottle feeding her baby. Which statement indicates to the nurse that the mom needs more information about bottle feeding?

Accepted Answer

A)  "I should encourage my baby to consume the entire amount of formula prepared for each feeding." 
B)  "I can make up a 24-hour supply of formula and refrigerate the bottles so I am ready to feed my baby." 
C)  "I will hold my baby in a cradle hold and alternate sides from left to right when I feed my baby." 
D)  "I will generally feed my baby every 3 to 4 hours or more as signs of hunger are displayed." 
A)  "I should encourage my baby to consume the entire amount of formula prepared for each feeding." 
B)  "I can make up a 24-hour supply of formula and refrigerate the bottles so I am ready to feed my baby." 
C)  "I will hold my baby in a cradle hold and alternate sides from left to right when I feed my baby." 
D)  "I will generally feed my baby every 3 to 4 hours or more as signs of hunger are displayed."

Question 13

Which should the nurse recommend to the postpartum client to prevent nipple trauma?

Accepted Answer

A)  Assess the nipples before each feeding. 
B)  Limit the feeding time to less than 5 minutes. 
C)  Wash the nipples daily with mild soap and water. 
D)  Position the infant so the nipple is far back in the mouth. 
A)  Assess the nipples before each feeding. 
B)  Limit the feeding time to less than 5 minutes. 
C)  Wash the nipples daily with mild soap and water. 
D)  Position the infant so the nipple is far back in the mouth.

Question 14

Which type of formula should not be diluted 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 15

Which interventions may relieve symptoms of colic in the infant? (Select all that apply.)

Accepted Answer

A)  Increased stimulation of infant to provide distraction 
B)  Burping infant frequently during feedings 
C)  Feeding infant placed in an upright position 
D)  Providing chamomile tea to infant 
E)  Feeding infant on an on demand schedule 
A)  Increased stimulation of infant to provide distraction 
B)  Burping infant frequently during feedings 
C)  Feeding infant placed in an upright position 
D)  Providing chamomile tea to infant 
E)  Feeding infant on an on demand schedule

Exam 22: Infant Feeding

Which is the hormone necessary for milk production?

A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's best response?

How many milliliters per kilogram (mL/kg) of fluids does a newborn need daily for the first 3 to 5 days of life?

A mother is breastfeeding her newborn infant but is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The best nursing response would be to:

A new mother asks why she has to open a new bottle of formula for each feeding. What is the nurse's best response?

A new mother is concerned because her 1-day-old newborn is taking only 1 oz at each feeding. What should the nurse explain?

The client should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?

A client who is receiving a pitocin (Oxytocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?

In which condition is breastfeeding contraindicated?

Which is an important consideration in positioning a newborn for breastfeeding?

As the nurse assists a new mother with breastfeeding, the mother asks, "If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?" The nurse's best response is that it contains:

A new mother is preparing for discharge. She plans on bottle feeding her baby. Which statement indicates to the nurse that the mom needs more information about bottle feeding?

Which should the nurse recommend to the postpartum client to prevent nipple trauma?

Which type of formula should not be diluted before being administered to an infant?

Which interventions may relieve symptoms of colic in the infant? (Select all that apply.)

Maternity and Women's Health Care Today

The Nurse's Role in Maternity and Women's Health Care

Ethical, Social, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Physiologic Adaptations to Pregnancy

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Nutrition for Childbearing

Antepartum Fetal Assessment

Perinatal Education

Processes of Birth

Nursing Care During Labor and Birth

Intrapartum Fetal Surveillance

Pain Management During Childbirth

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Postpartum Physiologic Adaptations

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Normal Newborn: Processes of Adaptation

Assessment of the Normal Newborn

Care of the Normal Newborn

Home Care of the Infant

The Childbearing Family with Special Needs

Complications of Pregnancy

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Postpartum Maternal Complications

High-Risk Newborn: Complications Associated with Gestational Age and Development

High-Risk Newborn: Acquired and Congenital Conditions

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