CH 30 OB test bank

Which of the following are potential disadvantages to breastfeeding? Select all that apply. 1. Pain with breastfeeding 2. Leaking milk 3. Equal feeding responsibilities with fathers 4. Vaginal wetness 5. Embarrassment

1, 2, 5

Which statements by a breastfeeding class participant indicate that teaching by the nurse was effective? Select all that apply. 1. Breastfed infants get more skin-to-skin contact and sleep better. 2. Breastfeeding raises the level of a hormone that makes me feel good. 3. Breastfeeding is complex and difficult, and I probably wont succeed. 4. Breastfeeding is worthwhile, even if it costs more overall. 5. Breastfed infants have fewer digestive and respiratory illnesses.

1, 2, 5

The nurse encourages a new mother to feed the newborn as soon as the newborn shows interest. The nurse bases this recommendation on which benefits of early feedings? Select all that apply. 1. Early feedings stimulate peristalsis. 2. Colostrum is thinner than mature milk. 3. Early feedings enhance maternal-infant bonding. 4. Early feedings promote the passage of meconium. 5. Colostrum contains a high number of calories.

1, 3, 4

What interventions would the nurse apply to support the breastfeeding mother? Select all that apply. 1. Assist the mother to begin breastfeeding within the first hour after birth. 2. Have the baby returned to the nursery after feeding so that the mother can get adequate rest. 3. Teach the mother to recognize and respond to early infant feeding cues. 4. Inform the mother about community resources that support breastfeeding. 5. Instruct the mother to avoid eating foods that might upset the newborns stomach

1, 3, 4

When a breastfeeding mother complains that her breasts are leaking milk, the nurse can offer which effective intervention? 1. Decrease the number of minutes the newborn is at the breast per feeding. 2. Decrease the mothers fluid intake. 3. Place absorbent pads in the bra. 4. Administer oxytocin.

Place absorbent pads in the bra.

Which of the following is a sign of dehydraton in the newborn? 1. Slow, weak pulse 2. Soft, loose stools 3. Light colored, concentrated urine 4. Depressed fontanelles

. Depressed fontanelles

What are some of the advantages and disadvantages of formula-feeding that a nurse should discuss with new parents? Select all that apply. 1. The nutritional value of formula depends on the proper preparation/dilution. 2. There is a potential for bacterial contamination during preparation and storage. 3. Both parents can participate in positive parent-infant interaction during feeding. 4. Refrigeration is not necessary if preparing more than one bottle at a time. 5. Formula has higher levels of essential fatty acids, lactose, cystine, and cholesterol than does breast milk.

1, 2, 3

What are the nurses responsibilities when teaching the new mother about infant feeding? Select all that apply. 1. The nurse should be well informed about infant nutrition and feeding methods. 2. The nurse should provide accurate and consistent information. 3. The nurse should use each interaction to support the parents and promote the familys sense of confidence. 4. The nurse should familiarize the mother with information about community resources that might be helpful after discharge. 5. The nurse should aggressively promote breastfeeding, even if the parents have decided to bottle-feed their infant.

1, 2, 3, 4

When teaching the new mother about the composition of breast milk, the nurse explains that the fat content can range from 30 to 50 grams/liter. Which factors affect the fat content of breast milk? Select all that apply. 1. Maternal parity 2. Duration of pregnancy 3. Stage of lactation 4. Time of day 5. Vitamin C intake

1, 2, 3, 4

A new mother is questioning the nurse about the advantages of breastfeeding her newborn. Which information should the nurse include in the teaching session? Select all that apply. 1. Breast milk has immunological advantages, including varying degrees of protection from bacterial and viral infections. 2. Breastfeeding has been shown to increase maternal-infant attachment. 3. Breastfeeding can be initially supplemented with bottle feedings so that the father does not feel left out of the infants care. 4. Breastfeeding often causes nipple tenderness, and may be discouraged until healing occurs. 5. Breastfeeding provides a psychologic advantage to the mother, who derives satisfaction knowing that she is providing her infant with the optimal nutritional start in life.

1, 2, 5

The nurse is caring for a premature infant in the NICU, and is going to attempt a bottle feeding with thawed breast milk. How long can thawed breast milk be stored in the refrigerator before the nurse must discard it? 1. 4 hours 2. 8 hours 3. 12 hours 4. 24 hours

24 hours

What should the healthcare provider consider when prescribing a medication to a woman who is breastfeeding? Select all that apply. 1. Drugs potential effect on hormone production 2. Amount of drug excreted into the mothers blood 3. Drugs potential adverse effects to the infant 4. Infants age and health 5. Mothers need for the medication

3, 4, 5

The nurse knows that in some cases, breastfeeding is not advisable. Which mother should be counseled against breastfeeding? 1. A mother with a poorly balanced diet 2. A mother who is overweight 3. A mother who is HIV positive 4. A mother who has twins

A mother who is HIV positive

The nurse is preparing a class on breastfeeding for pregnant women in their first trimester. The women are from a variety of cultural backgrounds, and all speak English well. Which statement should the nurse include in this presentation? 1. Although some cultures believe colostrum is not good for the baby, it provides protection from infections and helps the digestive system to function. 2. Some women are uncomfortable with exposing their breasts to nurse their infant, but it really isnt a big deal. You will get used to it. 3. No religion prescribes a feeding method, so you all can choose whatever method makes the most sense to you. 4. In most cultures, it is culturally acceptable to speak about intimate matters in front of their families.

Although some cultures believe colostrum is not good for the baby, it provides protection from infections and helps the digestive system to function

The nurse is assisting a mother to bottle-feed her newborn, who has been crying. The nurse suggests that prior to feeding, the mother should do which of the following? 1. Offer a pacifier 2. Burp the newborn 3. Unwrap the newborn 4. Stroke the newborns spine and feet

Burp the newborn

A client from Mexico has just delivered a son, and the nurse offers to assist in putting the baby to breast. Although the client indicated before the birth that she wanted to breastfeed, she is very hesitant, and says she would like to bottle-feed for the first few days. After talking to her, the nurse understands that her primary reason for wanting to delay breastfeeding is based on what cultural belief? 1. Breast milk causes skin rashes. 2. It is harmful to breastfeed immediately. 3. Colostrum is bad for the baby. 4. Thin milk causes diarrhea.

Colostrum is bad for the baby

A new mother who is breastfeeding tells the nurse that her infant is spitting up frequently, has very loose stools and copious gas, and feeds for only short periods of time. The nurse suspects a feeding intolerance and, after questioning the mother about her diet, suggests that she do which of the following? 1. Stop breastfeeding and switch to formula. 2. Eliminate dairy products from her diet. 3. Supplement breastfeeding with a soy-based formula. 4. Offer the baby water between feedings.

Eliminate dairy products from her diet.

The community nurse is working with poor women who are formula-feeding their infants. Which statement indicates that the nurses education session was effective? 1. I should use only soy-based formula for the first year. 2. I follow the instructions for mixing the powdered formula exactly. 3. It is okay to add more water to the formula to make it last longer. 4. The mixed formula can be left on the counter for a day.

I follow the instructions for mixing the powdered formula exactly.

The nurse is completing the discharge teaching of a young first-time mother. Which statement by the mother requires immediate intervention? 1. I will put my baby to bed with his bottle so he doesnt get hungry during the night. 2. My baby will probably have a bowel movement each breastfeeding, and will wet often. 3. Nursing every 2 to 3 hours is normal, for a total of 8 to 12 feedings every day. 4. I will drink fenugreek tea from my grandmother to prevent my milk from coming in.

I will put my baby to bed with his bottle so he doesn't get hungry during the night

The nurse is teaching a prenatal class about feeding methods. A father-to-be asks the nurse which method, breast or formula, leads to the fastest infant growth and weight gain. Which response by the nurse is best? 1. In the first 3 to 4 months breastfed babies tend to gain weight faster. 2. In the first 3 to 4 months there is no difference in weight gain. 3. In the first 3 to 4 months bottle-fed babies grow faster. 4. In the first 3 to 4 months growth isnt as important as your comfort with the method.

In the first 3 to 4 months breastfed babies tend to gain weight faster.

What is the primary carbohydrate in mammalian milk that plays a crucial role in the nourishment of the newborn? 1. Colostrum 2. Lactose 3. Lactoferrin 4. Secretory IgA

Lactose

The nurse is working with a client from Southeast Asia. The client tells the nurse that she should not put the baby to breast until her milk comes in and her breasts are warm, because cold milk (colostrum) is bad for the baby. After the nurse explains the benefits of colostrum, the client still insists that cold milk is bad. Which response by the nurse is best? 1. What kind of formula would you like to use? 2. That idea is folklore. Colostrum is good for the baby. 3. Now that you are here, you need to feed your baby the right way. 4. Lets give the baby formula after you breastfeed.

Lets give the baby formula after you breastfeed.

A nurse is evaluating the diet plan of a breastfeeding mother. Which beverage is most likely to cause intolerance in the infant? 1. Orange juice 2. Milk 3. Decaffeinated tea 4. Water

Milk

When is breastfeeding contraindicated? 1. Infant has hypertension 2. Mother has a history of treated tuberculosis 3. Mother is HIV positive or has AIDS 4. Mother has a history of treated herpes

Mother is HIV positive or has AIDS

A client at 20 weeks gestation has not decided on a feeding method for her infant. She asks the nurse for advice. The nurse presents information about the advantages and disadvantages of formula-feeding and breastfeeding. Which statements by the client indicate that the teaching was successful? 1. Formula-feeding gives the baby protection from infections. 2. Breast milk cannot be stored; it has to be thrown away after pumping. 3. Breastfeeding is more expensive than formula-feeding. 4. My baby will have a lower risk of food allergies if I breastfeed.

My baby will have a lower risk of food allergies if I breastfeed.

The nurse has completed a community education session on growth patterns of infants. Which statement by a participant indicates that additional teaching is needed? 1. Newborns should regain their birth weight by 1 week of age. 2. Breastfed and formula-fed babies have different growth rates. 3. Formula-fed infants regain their birth weight earlier than breastfed infant. 4. Healthcare providers consider breastfeeding to be the gold standard for neonatal nutrition.

Newborns should regain their birth weight by 1 week of age.

The nurse is performing an assessment on an infant whose mother states that she feeds the infant in a supine position by propping the bottle. Based on this information, what would the nurse include in the assessment? 1. Otoscopic exam of the eardrum 2. Bowel sounds 3. Vital signs 4. Skin assessment

Otoscopic exam of the eardrum

What information should the nurse include when teaching a new mother how to successfully bottle-feed her newborn? 1. Proper dilution of powdered formula is essential to provide adequate nutrition. 2. Keep formula at room temperature for at least 4 hours to warm it, instead of microwaving it. 3. Use enough water to dilute the nutrient and calorie density so the infant will drink more formula. 4. Freeze newly prepared formula for up to 3 months.

Proper dilution of powdered formula is essential to provide adequate nutrition

A nurse is evaluating the diet plan of a breastfeeding mother, and determines that her intake of fruits and vegetables is inadequate. The nurse explains that the nutritional composition of the mothers breast milk can be adversely affected by this nutritional inadequacy. Which strategy should the nurse recommend to the mother? 1. Stop breastfeeding 2. Provide newborn supplements to the newborn 3. Offer whole milk 4. Supplement with skim milk

Provide newborn supplements to the newborn

The nurse is working with a new mother who delivered yesterday. The mother has chosen to breastfeed her infant. Which demonstration of skill is the best indicator that the client understands breastfeeding? 1. She puts the infant to breast when he is asleep to help wake him up. 2. She takes off her gown to achieve skin-to-skin contact. 3. She leans toward the infant so that he turns his head to access the nipple. 4. The infant is crying when he is brought to the breast.

She takes off her gown to achieve skin-to-skin contact.

The nurse is teaching a new mother how to encourage a sleepy baby to breastfeed. Which of the following instructions would not be included in that teaching? 1. Providing skin-to-skin contact 2. Swaddling the newborn in a blanket 3. Unwrapping the newborn 4. Allowing the newborn to feel and smell the mothers breast

Swaddling the newborn in a blanket

A mother states that her breasts leak between feedings. Which of the following can contribute to the letdown reflex in breastfeeding mothers? 1. Pain with breastfeeding 2. Number of hours passed since last feeding 3. The newborns cry 4. Maternal fluid intake

The newborns cry

The nurse is explaining the nutritional differences between breast milk and formula to an expectant couple. The mother-to-be asks whether breast milk is nutritionally superior to formula. What should the nurse reply? 1. The vitamins and minerals in formula are more bioavailable to the infant. 2. There is no cholesterol in breast milk. 3. The only carbohydrate in breast milk is lactose. 4. The ratio of whey to casein proteins in breast milk changes to meet the nutritional needs of the growing infant.

The ratio of whey to casein proteins in breast milk changes to meet the nutritional needs of the growing infant.

The nurse is caring for a new breastfeeding mother who is from Pakistan. The nurse plans her care so that the newborn is offered the breast on which of the following? 1. Day of birth 2. First day after birth 3. Second day after birth 4. Third to fourth day after birth

Third to fourth day after birth

Which of the following functions primarily to provide low-income women and children who are at risk for medical or nutritional problems with nutritious foods to supplement their diets, nutrition education and counseling, and screening and referrals to other health, welfare, and social programs? 1. ABM 2. WIC 3. ILCA 4. LLLI

WIC