Ch. 25, Newborn Nutrition and Feeding
Which nursing information is appropriate to include when discussing the storage of breast milk with a client?
"Discard unused milk after a feeding within 2 hours."
Which breastfeeding position would the nurse recommend for a very small infant?
Across-the-lap (modified cradle)
Which action would the nurse take for a postpartum client who has laboratory-confirmed varicella (low-grade fever, sore throat, and skin rash)?
Advise temporary isolation of the infant and the client.
Which education would the nurse provide the parents of an infant with laboratory-confirmed galactosemia?
Avoid breastfeeding the infant.
Which statement reflects the benefit of breastfeeding on the family or society at large? Select all that apply.
Breastfeeding requires fewer supplies and less cumbersome equipment. Breastfeeding saves families money. Breastfeeding benefits the environment. Breastfeeding results in reduced annual health care costs.
Which action might the nurse expect a Mexican client to practice when feeding her newborn?
Give both expressed milk and infant formula.
Which outcome is a risk factor associated with feeding infants formula that is too concentrated?
Impaired kidney filtration
Which parental action would the nurse interpret as demonstrating appropriate understanding of safe feeding practices for an infant receiving concentrated formula?
Wash the top of the can and can opener with soap and water before opening the can.
Which response would the nurse provide a client who asks why there is corn syrup added to infant formulas?
"To provide sufficient carbohydrates to the baby."
Which intervention would the nurse recommend to a postpartum client who is unable to feed her newborn as often as she needs to because the baby spends most of the time sleeping?
"You can wake the baby up by gently massaging his back."
How would the nurse identify an increased volume of breast milk?
By observing the infant's urine color
Which breastfeeding position would the nurse recommend for a postpartum client who reports severe pain after a cesarean delivery?
Clutch hold position
Which dietary practice would the nurse expect a Hmong client follow to enhance milk production?
Eat boiled chicken.
Which intervention helps prevent infection in the newborn?
Encourage the mother to breastfeed the infant.
Which nursing intervention helps promote early passage of meconium in the infant?
Encouraging the mother to feed the infant colostrum
Which strategy would the nurse recommend to an obese client who is worried that her infant will be obese?
Exclusive breastfeeding
Which complication may be prevented if clients use skin-to-skin contact with their newborn infant?
Hypothermia
Why would the nurse advise a postpartum client to gently massage her breasts before performing hand expression?
It stimulates the let-down reflex.
Which education would the nurse provide a postpartum client regarding expressed breast milk storage?
Milk can be stored along with other food items in the refrigerator.
Which rationale would lead the nurse to advise a postpartum client to breastfeed regularly to lower the risk of postpartum hemorrhage?
Oxytocin production
Which intervention would the nurse recommend to a postpartum client who reports firm, hot, and shiny breasts?
Placing cabbage leaves over the breast
Which education would the nurse provide a lactating client about appropriate use of a hospital-grade electric pump for feeding her preterm infant?
Pumping should be done 8 to 10 times a day to maintain milk supply.
Which early feeding-readiness cues are exhibited for a breastfed newborn? Select all that apply.
Rooting reflex Suckling motions Hand-to-mouth movements
Which cultural practice would the nurse anticipate for a postpartum client who is Muslim?
Rubbing softened dates on the infant's palate
Which food would the nurse include in a Korean postpartum client's diet plan to possibly increase the production of breast milk?
Seaweed soup
Which position would the nurse suggest the lactating client assume for initial feeding of the newborn?
Semi-reclining position
Which education would the nurse provide a postpartum client about offering water to her 1-month-old infant after breastfeeding?
The breast milk contains enough water to hydrate the child.
Which assessment finding would indicate to the nurse that an infant is latched on to the mother's breast and is receiving the mother's milk?
The client feels strong tugging on the nipple.
How are the oligosaccharides that are present in breast milk beneficial to the breastfed infant?
They prevent pathogenic bacterial growth.
Which is the rationale for placing a full-term infant on the postpartum client's chest after delivery?
To help initiate breastfeeding
Why would the nurse suggest that a client stimulate her baby's lips with her nipple while breastfeeding?
To stimulate the baby to open his or her mouth
For which vitamin deficiency is the infant at risk if the breastfeeding mother does not consume eggs or meat?
Vitamin B2 deficiency
Which instructions would the nurse include when teaching a mother about the storage of breast milk? Select all that apply.
Wash hands before expressing breast milk. Milk thawed in the refrigerator can be stored for 24 hours.
Which statement regarding infant weaning is accurate?
Weaning can be mother or infant initiated.
Which guidance would the nurse provide a postpartum client before initiating breastfeeding?
"Spread a few drops of milk on the nipple."
Which parental statement indicates the need for further teaching about formula preparation?
"Concentrated formula is diluted with twice the amount of water."
Which nursing information is appropriate to include when teaching the parents of a breastfed 3-day-old newborn?
"I recommend that you follow a feeding pattern that is cue-based."
Which recommendation would the nurse provide to prevent potential risks to the infant of a lactating client who consumes alcohol?
"Avoid breastfeeding for 2 hours after consuming alcohol."
Which assessment finding would the nurse recognize as indicating a problem with latching?
The mother reports pain in her nipples while breastfeeding.
What is tandem feeding?
Breastfeeding an infant and an older sibling during the same period of time.
Why would the nurse advise a breastfeeding client to check whether the infant's cheeks are rounded or dimpled during feeding?
It indicates the effectiveness of breastfeeding.
Which factor would the nurse consider when helping a breastfeeding mother position her baby?
Whatever the position used, the infant is "skin to skin" with the mother.