Chapter 15
A new mother is concerned that she will not have enough breast milk because of small breasts. what should the nurse respond to the mother?
"The size of breasts does not impact the amount of breast milk that is made."
Prior to discharging a new breastfeeding mom with her newborn, which key points should the nurse review? select all that apply.
-Breastfed infants will receive linoleum acid from breast milk in order to meet the growth needs -The mother who is breastfeeding should drink fluoridated water, not bottled water.
The nurse is teaching a breast-feeding class for nursing students. teaching has been effective when the student can cite which of the following maternal conditions in which breast-feeding is contraindicated? select all that apply.
Active untreated tuberculosis, chemotherapy, illegal drug use, HIV
A postpartum mother is experiencing sore nipples. the woman asks the nurse what she is doing wrong that is causing this problem. the nurse identifies which breastfeeding technique or condition may result in sore nipples? select all that apply.
Allowing the newborn to stay latched on to the breast for a prolonged period after feeding, not assessing that the newborn has a highly arched palate that interferes with proper latching, setting the breast pump on a higher pressure setting to empty milk faster.
When teaching a woman about ingesting drugs while breastfeeding, which of the following statements is most accurate?
Almost all drugs are excreted to some extent in breast milk.
Which postpartum client would the nurse advise to pump her breasts to provide breast milk to her newborn? select all that apply.
An infant with respiratory distress who is in the NICU, an infant with a latch score of 5 on two different observations, a woman with an inverted nipple using a breast shield to no avail
The nurse is explaining the process of breast milk production with a client pregnant with her first child. what should the nurse include when providing this teaching? select all that apply.
For the first 3 to 4 days, the breast milk is colostrum, True breast milk comes in by the 10th day after giving birth.
A new mother calls the lactation consultant at the hospital because she is concerned that her 1-week-old baby is not getting enough to eat when he is breast-feeding. what reported behavior by the baby would the nurse be concerned about?
He is feeding 6 times per day
The lactation nurse is working with a woman who is experiencing some difficulties getting her newborn to "latch on" to her breast. they are trying various positions to see which is best for this infant. the nurse will document which nursing problem related to this teaching session?
Imbalanced nutrition, less than body requirements related to poor latch
Which feeding position should the nurse suggest as most beneficial for the mother who had a cesarean birth?
Sitting in a chair using a football hold with the newborn on a pillow on the mother's lap
Which factors affect a woman's decision to breastfeed? select all that apply.
Socioeconomic, culture, past experience, family, work status
Parents ask the nurse why they are not supposed to throw a bottle of milk into the microwave to warm it. which response is most accurate?
"The microwave causes the milk in the center of the bottle to become hotter than near the side."
Which statement from the parents of a 20-week-old infant will require further teaching related to supplying protein needed by a newborn?
"We have a milk cow, so we never have to worry about running out of milk for this baby."
A single mother with financial constraints asks the nurse if she can keep unused milk from one feeding for the next feeding. which response is most accurate?
"With any type of bottle, the contents remaining after a feeding should be discarded, not reused."
Which factors would positively influence a new mother to choose breast-feeding over bottle-feeding? select all that apply.
-Positive attitudes of her support system -Being over 30 year of age -Her mother breastfeeding her as a baby
A breastfeeding client asks how much breast milk to put in a bottle for her 3-month-old baby. the nurse will recommend placing how much breast milk in each bottle?
5 to 6 oz (142 to 170 g)
Which of the following correctly identifies the daily caloric requirement per pound for a newborn?
50 to 55
A nurse is working with four new mothers and assessing their ability to breastfeed. for which mother would breastfeeding be appropriate and safe?
A mother who smokes cigarettes
The nurse is preparing a discharge teaching for a young mother who plans to breastfeed her infant. which contraceptive choices should the nurse point out as the best options?
Barrier methods, spermicides, and progesterone-only methods
A new mother calls for the nurse to come to her room while she is breast-feeding her newborn. She reports that the baby will not wake up and latch on. what can the nurse do to assist this mother in getting her newborn to nurse?
Change the diaper and gently rub the newborn's back.
Why is the use of contraceptives containing estrogen not recommended for breast-feeding women?
Contraceptives containing estrogen reduces the milk supply.
A nurse is preparing a teaching plan for a new mother who will be using a formula to feed her newborn. which instructions would the nurse prioritize in the teaching? select all that apply.
Hold the infant semi-upright and close to promote eye contact, interact with the infant during the feeding sessions, Tilt the bottle so that the nipple fills with formula
The nurse is teaching a class for expectant parents at the community center. one woman asks about the benefits of breast-feeding. what benefits to the baby would the nurse identify? select all that apply.
Improved gastrointestinal function, Reduced susceptibility to respiratory infected for the first year, improved immunity to disease, reduced incidence of childhood obesity
The nurse is assisting a new mother to begin breastfeeding her newborn. Which action should the nurse prioritize?
Position the infant in her arms, across her abdomen, stroking the infant's cheek with her nipple
Nurses know that which factor most influences whether women decide to initiate breastfeeding?
Prenatal education
A new mother is ambivalent about breastfeeding and agrees to do it for at least 3 months. what response should the nurse provide to the patient at this time that would support the 2020 national health goals?
Six months to 1 year of age is the best time frame to support the baby's growth needs.
Dietary needs change from pregnancy to lactation. What should breastfeeding mothers be advised?
That even if a mother has adequate fat stores, calorie intake should increase
A mother has expressed two bottles of breast milk and asks the nurse about how to store it for later use. Which explanation would be accurate?
The breast milk will be good for up to 1 week if refrigerated at 39 degrees Fahrenheit or less.
The nurse is assisting a new mother with breastfeeding her infant who has shared she wants to cradle her baby close to her. Which position will the nurse assist the mother in placing the infant?
Tummy-to-tummy with its mother
A first-time mother learning to breastfeed her newborn is worried her baby is not getting enough milk. which statement made by the nurse is most appropriate?
"Look at the number of wet and diapers stool plus how many times the baby is feeding in a 24 hour period."
A new mother who is about to be discharged expresses concern about how to know her baby is getting enough breast milk. which response should the nurse prioritize?
"Observe if your baby is eating 8-12 times a day."
The nurse is teaching a breastfeeding class. which statement made by a mother indicates comprehension of the composition of breast milk. "i will completely empty one breast before starting on the other because my baby needs the:
"Fat in the hindmilk"
A new mother wants to prevent her newborn from developing severe jaundice because this happened to her first child. what statement is most accurate for the nurse to say to this mother?
"If possible, feed your baby as frequently as you can to allow the natural laxative in colostrum help pass both meconium and bile."
The nurse is teaching new parents how to calculate the amount of formula to feed their newborn each day. the baby weighs 8 lb. how much formula should the nurse teach the parents to provide each day?
20 to 24 oz
The postpartum nurse is teaching a nutrition class for a group of new breastfeeding mothers. which topics should be included in this presentation? select all that apply.
-Recommend the mothers increase their water intake to at least four to six 8-oz glasses/day. -Caffeine intake can affect the newborn while breastfeeding, so mothers should try to limit consumption if possible.
A new mother states her breasts are "hard, swollen, and painful." which interventions will the nurse suggest to this client? select all that apply.
-Feed the infant more often -Prior to feeding, apply moist heat to the breast -Massage the breast
The nurse is conducting a nutrition class for a group of breast-feeding mothers. what points would the nurse emphasize for these women? select all that apply.
-Fluid intake is encouraged to ensure that there is enough milk available. -Mothers need to consume 300 to 500 kcal/day above their prepregnancy intake. -Resting each day helps a mother's milk supply remain adequate.
The nurse is reviewing common problems seen in formula-fed newborns with a mother who chose to bottle-feed her baby. what problems would be included in this session? select all that apply.
-It is normal for the baby to have a small amount of emesis after feeding occasionally. -Infants can develop "bottle mouth syndrome" from being given a nighttime bottle that the infant sucks on throughout the night.
The nurse takes a newborn to the mother's room for a formula feeding. Which education would the nurse provide this mother to aid in feeding the newborn? Select all that apply.
-Warm the bottle up before giving it to the newborn. -Gently shake the bottle prior to feeding to ensure that the formula is well mixed. -Keep an overhead light on so the mother can observe the newborn feeding.
The nurse takes a newborn into the mother's room for feeding following a cesarean delivery. the nurse notes that the mother has large breasts when assisting her to feed the newborn. which position would the nurse recommend to this mother?
-warm the bottle up before giving it to the newborn. -Gentle shake the bottle prior to feeding to ensure that the formula is well mixed. -keep an overhead light on so the mother can observe the newborn feeding.
