Question 1

What should the nurse keep in mind when helping the breastfeeding mother position the baby for nursing?

Accepted Answer

A)  The cradle position usually is preferred by mothers who had a Caesarean birth. 
B)  Women with perineal pain and swelling prefer the modified cradle position. 
C)  Whatever the position used, the infant is "belly to belly" with the mother. 
D)  While supporting the head, the mother should push gently on the occiput. 
A)  The cradle position usually is preferred by mothers who had a Caesarean birth. 
B)  Women with perineal pain and swelling prefer the modified cradle position. 
C)  Whatever the position used, the infant is "belly to belly" with the mother. 
D)  While supporting the head, the mother should push gently on the occiput. C

Question 2

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

Accepted Answer

A)  Smoking has little or no effect on milk production. 
B)  There is no relation 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 or no effect on milk production. 
B)  There is no relation 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. D

Question 3

What should the nurse advise the woman with regard to basic care of the breastfeeding mother?

Accepted Answer

A)  She will need an extra 1000 calories a day to maintain energy and produce milk. 
B)  She can go back to prepregnancy fluid consumption 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 go back to prepregnancy fluid consumption 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. C

Question 4

Which statement is incorrect regarding the benefits to the mother associated with breastfeeding?

Accepted Answer

A)  They have a decreased risk of breast cancer. 
B)  It is an effective method of birth control for the first year after birth. 
C)  It increases bone density. 
D)  It may enhance postpartum weight loss. 
A)  They have a decreased risk of breast cancer. 
B)  It is an effective method of birth control for the first year after birth. 
C)  It increases bone density. 
D)  It may enhance postpartum weight loss.

Question 5

Which statement is true about bottle-feeding using commercially prepared infant formulas?

Accepted Answer

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

Question 6

Nurses should be able to tell breastfeeding mothers that all of these are signs that the infant has latched on correctly to her breast,except which of the following?

Accepted Answer

A)  She feels a firm tugging sensation on her nipples but not pinching or pain. 
B)  The baby sucks with cheeks rounded, not dimpled. 
C)  The baby's jaw glides smoothly with sucking. 
D)  She hears a clicking or smacking sound. 
A)  She feels a firm tugging sensation on her nipples but not pinching or pain. 
B)  The baby sucks with cheeks rounded, not dimpled. 
C)  The baby's jaw glides smoothly with sucking. 
D)  She hears a clicking or smacking sound.

Question 7

A primiparous woman is delighted with her newborn son and wants to begin breastfeeding as soon as possible.The nurse can facilitate the infant's correct latch-on by helping the woman hold the infant in which position?

Accepted Answer

A)  With his arms folded together over his chest 
B)  Curled up in a fetal position 
C)  With his head cupped in her hand 
D)  With his head and body in alignment 
A)  With his arms folded together over his chest 
B)  Curled up in a fetal position 
C)  With his head cupped in her hand 
D)  With his head and body in alignment

Question 8

What is the best reason for recommending formula over breastfeeding?

Accepted Answer

A)  The mother had a bilateral mastectomy. 
B)  The mother lacks confidence in her ability to breastfeed. 
C)  Other family members or care providers also need to feed the baby. 
D)  The mother sees bottle feeding as more convenient. 
A)  The mother had a bilateral mastectomy. 
B)  The mother lacks confidence in her ability to breastfeed. 
C)  Other family members or care providers also need to feed the baby. 
D)  The mother sees bottle feeding as more convenient.

Question 9

What should the nurse be aware of with regard to the qualities of human breast milk?

Accepted Answer

A)  Frequent feedings during predictable growth spurts stimulate increased milk production. 
B)  The milk of preterm mothers is the same as the milk of mothers who gave birth at term. 
C)  The milk at the beginning of the feeding is the same as the milk at the end of the feeding. 
D)  Colostrum is an early, less concentrated, less rich version of mature milk. 
A)  Frequent feedings during predictable growth spurts stimulate increased milk production. 
B)  The milk of preterm mothers is the same as the milk of mothers who gave birth at term. 
C)  The milk at the beginning of the feeding is the same as the milk at the end of the feeding. 
D)  Colostrum is an early, less concentrated, less rich version of mature milk.

Question 10

According to demographic research,which woman would be least likely to breastfeed and thus most likely to need education on the benefits and proper techniques of breastfeeding?

Accepted Answer

A)  A woman who is 30 to 35 years of age, white, and employed part-time outside the home 
B)  A woman who is younger than 25 years of age, of Latin-American descent, and unemployed 
C)  A woman who is younger than 25 years of age, African-Canadian, and employed full-time outside the home 
D)  A woman who is 35 years of age or older, white, and employed full-time at home 
A)  A woman who is 30 to 35 years of age, white, and employed part-time outside the home 
B)  A woman who is younger than 25 years of age, of Latin-American descent, and unemployed 
C)  A woman who is younger than 25 years of age, African-Canadian, and employed full-time outside the home 
D)  A woman who is 35 years of age or older, white, and employed full-time at home

Question 11

Which statement about the benefits or limitations of breastfeeding is not accurate?

Accepted Answer

A)  Breast milk changes over time to meet changing needs as infants grow. 
B)  Long-term studies have shown that the benefits of breast milk continue after the infant is weaned. 
C)  Breast milk and breastfeeding may enhance cognitive development. 
D)  Breastfeeding increases the risk of childhood obesity. 
A)  Breast milk changes over time to meet changing needs as infants grow. 
B)  Long-term studies have shown that the benefits of breast milk continue after the infant is weaned. 
C)  Breast milk and breastfeeding may enhance cognitive development. 
D)  Breastfeeding increases the risk of childhood obesity.

Question 12

A new mother wants to be sure that she is meeting her daughter's needs while feeding her commercially prepared infant formula.The nurse should evaluate the mother's knowledge about appropriate infant care.The mother meets her child's needs when she does which of the following?

Accepted Answer

A)  She adds rice cereal to her formula at 2 weeks of age to ensure adequate nutrition. 
B)  She warms the bottles using a microwave oven. 
C)  She burps her infant during and after the feeding as needed. 
D)  She refrigerates any leftover formula for the next feeding. 
A)  She adds rice cereal to her formula at 2 weeks of age to ensure adequate nutrition. 
B)  She warms the bottles using a microwave oven. 
C)  She burps her infant during and after the feeding as needed. 
D)  She refrigerates any leftover formula for the next feeding.

Question 13

Which ethnic group does not offer colostrum to the newborn?

Accepted Answer

A)  Muslim 
B)  Jewish 
C)  Vietnamese 
D)  Asian 
A)  Muslim 
B)  Jewish 
C)  Vietnamese 
D)  Asian

Question 14

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.The nurse can explain to him that beginning solid foods before 6 months may do which of the following?

Accepted Answer

A)  It may decrease the infant's intake of sufficient calories. 
B)  It may lead to early cessation of breastfeeding. 
C)  It may help the infant sleep through the night. 
D)  It may limit the infant's growth. 
A)  It may decrease the infant's intake of sufficient calories. 
B)  It may lead to early cessation of breastfeeding. 
C)  It may help the infant sleep through the night. 
D)  It may limit the infant's growth.

Question 15

Which is true in relation to the process whereby parents awaken the infant to feed every 3 hours during the day and at least every 4 hours at night?

Accepted Answer

A)  This is known as demand feeding. 
B)  This is necessary during the first 24 to 48 hours after birth. 
C)  This method is used to set up the supply-meets-demand system. 
D)  This is a way to control cluster feeding. 
A)  This is known as demand feeding. 
B)  This is necessary during the first 24 to 48 hours after birth. 
C)  This method is used to set up the supply-meets-demand system. 
D)  This is a way to control cluster feeding.

Question 16

With regard to the nutrient needs of breastfed and formula-fed infants,nurses should be aware of which of the following?

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 until their diet provides this or they are 1 year of age. 
D)  Vitamin K injections at birth are not needed for infants fed on specially enriched formula. 
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 until their diet provides this or they are 1 year of age. 
D)  Vitamin K injections at birth are not needed for infants fed on specially enriched formula.

Question 17

A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding.Which one of the following signs should the nurse teach the mother about?

Accepted Answer

A)  Increased heart rate 
B)  Numbness 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 
A)  Increased heart rate 
B)  Numbness 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

Question 18

Which of the following is an example of an appropriate technique to wake a sleepy infant for breastfeeding?

Accepted Answer

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

Question 19

A new mother recalls from prenatal class that she should try to feed her newborn daughter when she exhibits hunger cues,rather than waiting until her infant is crying frantically.On the basis of this information,which cue should the nurse alert this woman to regarding feeding her infant?

Accepted Answer

A)  The infant is waving her arms in the air. 
B)  The infant is making sucking motions. 
C)  The infant is having hiccups. 
D)  The infant is stretching her legs out straight. 
A)  The infant is waving her arms in the air. 
B)  The infant is making sucking motions. 
C)  The infant is having hiccups. 
D)  The infant is stretching her legs out straight.

Question 20

The nurse providing couplet care should understand that nipple confusion results when which of the following occurs?

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.

Exam 26: Newborn Nutrition and Feeding

What should the nurse keep in mind when helping the breastfeeding mother position the baby for nursing?

What should the nurse advise the woman with regard to basic care of the breastfeeding mother?

Which statement is incorrect regarding the benefits to the mother associated with breastfeeding?

Which statement is true about bottle-feeding using commercially prepared infant formulas?

Nurses should be able to tell breastfeeding mothers that all of these are signs that the infant has latched on correctly to her breast,except which of the following?

A primiparous woman is delighted with her newborn son and wants to begin breastfeeding as soon as possible.The nurse can facilitate the infant's correct latch-on by helping the woman hold the infant in which position?

What is the best reason for recommending formula over breastfeeding?

What should the nurse be aware of with regard to the qualities of human breast milk?

According to demographic research,which woman would be least likely to breastfeed and thus most likely to need education on the benefits and proper techniques of breastfeeding?

Which statement about the benefits or limitations of breastfeeding is not accurate?

A new mother wants to be sure that she is meeting her daughter's needs while feeding her commercially prepared infant formula.The nurse should evaluate the mother's knowledge about appropriate infant care.The mother meets her child's needs when she does which of the following?

Which ethnic group does not offer colostrum to the newborn?

Which is true in relation to the process whereby parents awaken the infant to feed every 3 hours during the day and at least every 4 hours at night?

With regard to the nutrient needs of breastfed and formula-fed infants,nurses should be aware of which of the following?

A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding.Which one of the following signs should the nurse teach the mother about?

Which of the following is an example of an appropriate technique to wake a sleepy infant for breastfeeding?

A new mother recalls from prenatal class that she should try to feed her newborn daughter when she exhibits hunger cues,rather than waiting until her infant is crying frantically.On the basis of this information,which cue should the nurse alert this woman to regarding feeding her infant?

The nurse providing couplet care should understand that nipple confusion results when which of the following occurs?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

Filters