Question 1

The nurse notes a new mother is waiting until her newborn begins crying prior to breastfeeding her.What response by the nurse is best?

Accepted Answer

A)  Praise the mother for her efforts to nurse. 
B)  Teach the mother signs of hunger in the newborn. 
C)  Inform the mother she is inhibiting bonding. 
D)  Demonstrate calming methods prior to feeding. 
A)  Praise the mother for her efforts to nurse. 
B)  Teach the mother signs of hunger in the newborn. 
C)  Inform the mother she is inhibiting bonding. 
D)  Demonstrate calming methods prior to feeding.

Question 2

A new mother asks if she should feed her newborn colostrum,because it is not "real milk." The nurse's best answer is that

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 helps the mother learn how to breastfeed. 
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 helps the mother learn how to breastfeed. 
D)  colostrum is unnecessary for newborns.

Question 3

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 4

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 in 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 in 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 5

In order to prevent nipple trauma,the nurse should teach the new mother to

Accepted Answer

A)  limit the feeding time to less than 5 minutes. 
B)  position the infant so the nipple is far back in the mouth. 
C)  assess the nipples before each feeding. 
D)  wash the nipples daily with mild soap and water. 
A)  limit the feeding time to less than 5 minutes. 
B)  position the infant so the nipple is far back in the mouth. 
C)  assess the nipples before each feeding. 
D)  wash the nipples daily with mild soap and water.

Question 6

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 and feelings toward 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 and feelings toward breastfeeding. 
D)  Help her obtain a comfortable position and place the infant to the breast.

Question 7

A new mother recalls that she should feed her newborn 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 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 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 about pumping,storing,and transporting the milk needs to assess their knowledge of lactation.What statement is valid?

Accepted Answer

A)  A premature infant more easily digests 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 as the infant can drink. 
D)  The mother should pump every 2 to 3 hours, including during the night. 
A)  A premature infant more easily digests 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 as the infant can drink. 
D)  The mother should pump every 2 to 3 hours, including during the night.

Question 9

Some nipple conditions make it necessary to provide intervention before birth in the mother who plans to breastfeed.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 10

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

Accepted Answer

A)  Unwrap the infant. 
B)  Change the diaper. 
C)  Talk to the infant. 
D)  Slap the infant's hands and feet. 
E)  Apply a cold towel to the infant's abdomen. 
A)  Unwrap the infant. 
B)  Change the diaper. 
C)  Talk to the infant. 
D)  Slap the infant's hands and feet. 
E)  Apply a cold towel to the infant's abdomen.

Question 11

A woman wants to breastfeed,but her nipples are inverted and she is concerned it won't be possible.What does the nurse teach the woman about this condition?

Accepted Answer

A)  A woman with inverted nipples rarely is successful at breastfeeding. 
B)  You can use a breast pump just prior to feeding to evert the nipples. 
C)  Massage the breasts prior to feeding to allow milk let-down. 
D)  Try changing the infant's position during feedings. 
A)  A woman with inverted nipples rarely is successful at breastfeeding. 
B)  You can use a breast pump just prior to feeding to evert the nipples. 
C)  Massage the breasts prior to feeding to allow milk let-down. 
D)  Try changing the infant's position during feedings.

Question 12

The student nurse learns that breastfed babies are less likely to develop certain health conditions as adults.Which conditions does this include? (Select all that apply.)

Accepted Answer

A)  Diabetes 
B)  Asthma 
C)  Obesity 
D)  Kidney failure 
E)  Some cancers 
A)  Diabetes 
B)  Asthma 
C)  Obesity 
D)  Kidney failure 
E)  Some cancers

Question 13

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 14

A primiparous woman 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

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 15

The nurse notices an infant has dimpling of the cheeks when breastfeeding.What action by the nurse is best?

Accepted Answer

A)  Tell the mother this is a sign of adequate feeding. 
B)  Have the mother remove the baby from the breast and try again. 
C)  Make a referral for a lactation consultation. 
D)  Instruct the mother to feed for at least 15 minutes. 
A)  Tell the mother this is a sign of adequate feeding. 
B)  Have the mother remove the baby from the breast and try again. 
C)  Make a referral for a lactation consultation. 
D)  Instruct the mother to feed for at least 15 minutes.

Question 16

A postpartum woman telephones about her 4-day-old infant.She is not scheduled for a weight check until the infant is 10 days old,and she is worried about whether breastfeeding is going well.Effective breastfeeding is indicated by the newborn who

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 17

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.

Exam 23: Newborn Feeding

The nurse notes a new mother is waiting until her newborn begins crying prior to breastfeeding her.What response by the nurse is best?

A new mother asks if she should feed her newborn colostrum,because it is not "real milk." The nurse's best answer is that

An important aspect about storage of breast milk is that it

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

In order to prevent nipple trauma,the nurse should teach the new mother to

What is the first step in assisting the breastfeeding mother?

A new mother recalls that she should feed her newborn 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 when she

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 about pumping,storing,and transporting the milk needs to assess their knowledge of lactation.What statement is valid?

Some nipple conditions make it necessary to provide intervention before birth in the mother who plans to breastfeed.These include (Select all that apply.)

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

A woman wants to breastfeed,but her nipples are inverted and she is concerned it won't be possible.What does the nurse teach the woman about this condition?

The student nurse learns that breastfed babies are less likely to develop certain health conditions as adults.Which conditions does this include? (Select all that apply.)

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?

A primiparous woman 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

The nurse notices an infant has dimpling of the cheeks when breastfeeding.What action by the nurse is best?

A postpartum woman telephones about her 4-day-old infant.She is not scheduled for a weight check until the infant is 10 days old,and she is worried about whether breastfeeding is going well.Effective breastfeeding is indicated by the newborn who

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

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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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