Chapter 12- Nutritional

The breastfeeding client should be taught a safe method to remove her breast from the babys mouth. Which suggestion by the nurse is most appropriate?

Break the suction by inserting your finger into the corner of the infants mouth.

Which woman is most likely to continue breastfeeding beyond 6 months?

A woman who avoids using bottles

In which condition is breastfeeding contraindicated?

Human immunodeficiency virus infection

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

Ready to use

How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?

100 to 110

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

60 to 100

Which is the hormone necessary for milk production?

Prolactin

Which recommendation should the nurse make to a client to initiate the milk ejection reflex?

Place the infant to the breast

Which is the first step in assisting the breastfeeding mother?

Assess the womans knowledge of breastfeeding

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

Placing the infant at nipple level facing the breast

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?

Unwrap and gently arouse the infant.

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

Breast-feed frequently and for adequate lengths of time.

What is the difference between the aseptic and terminal methods of sterilization?

The terminal method sterilizes the prepared formula at the same time it sterilizes the equipment

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

3.5

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 infants stomach capacity is small at birth but will expand within a few days.

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 nurses best response is that it contains:

important immunoglobulins.

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

The mothers milk supply will increase as the infant demands more at each feeding.

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

Position the infant so the nipple is far back in the mouth.

A breastfeeding client who was discharged yesterday calls to ask about a tender hard area on her right breast. What should be the nurses first response?

Try massaging the area and apply heat; it is probably a plugged duct.

Which is an important consideration about the storage of breast milk?

Can be kept refrigerated for 48 hours

What is the most serious consequence of propping an infants bottle?

Aspiration

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

Bacteria can grow rapidly in warm milk.

A new mother asks whether she should feed her newborn colostrum because it is not real milk. The nurses best answer includes which information?

Colostrum is high in antibodies, protein, vitamins, and minerals.

A newborn infant weighs 7 pounds, 2 ounces, on the fifth day of life. How much water should be given to the newborn based on required fluid needs?

Fluid replacement should be based on weight and calculated in the range of 60 to 100 mL/kg.

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:

have the client put the infant to her breast more frequently

A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft. The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, the nurse would designate a score of:

6 and further teach and assist the mother in feeding activities

A mother conveys concern over the fact that she is not sure if her newborn child is getting enough nutrients from breastfeeding. This is the babys first clinic visit after birth. What information can you provide that will help alleviate her fears about nutrient status for her newborn?

Monitor the infants output; as long as at least six or more diapers are changed in a 24-hour period, that should be sufficient.

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

Breast milk is low in vitamin D and supplementation with 400 IU is recommended.

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?

I should encourage my baby to consume the entire amount of formula prepared for each feeding.

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?

Stop the pitocin infusion.

The nurse is teaching a postpartum client different holds for breastfeeding. Which of the following figures depicts the football hold frequently used for clients who have had a cesarean birth?

For the football or clutch hold

Late in pregnancy, the clients breasts should be assessed by the nurse to identify any potential concerns related to breastfeeding. Which of the following nipple conditions make it necessary to intervene before birth. (Select all that apply.)

Flat nipples

Inverted nipples

Nipples that contract when compressed

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

Burping infant frequently during feedings

Feeding infant placed in an upright position

Providing chamomile tea to infant

For which infant should the nurse anticipate the use of soy formula? (Select all that apply.)

Infant with galactosemia

Infant with lactase deficiency

Infant with a malabsorption disorder

A new mother asks the nurse, How will I know early signs of hunger in my baby? The nurses best response is which of the following? (Select all that apply.)

Rooting

Lip smacking

Sucking on the hands