Chapter 25, Newborn Nutrition and Feeding
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 dietary practice would the nurse expect a Hmong client follow to enhance milk production?
Eat boiled chicken.
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
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.
In which position would the nurse recommend a postpartum client place her 36-week-old newborn during breastfeeding?
Under-the-arm position
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 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."
What is tandem feeding?
Breastfeeding an infant and an older sibling during the same period of time.
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.
How would the nurse identify an increased volume of breast milk?
By observing the infant's urine color
Which intervention would the nurse implement for a 3-day-old newborn whose weight is 7 lb, 12 oz (birth weight 8 lb, 4 oz)?
Encourage the client to continue breastfeeding because it is effective in meeting the newborn's nutrient and fluid needs.
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
Which medication would the nurse expect to be ordered for a lactating client who experiences cramps after breastfeeding?
Ibuprofen
Why would the nurse advise a postpartum client to gently massage her breasts before performing hand expression?
It stimulates the let-down reflex.
Which complications would the nurse recognize as being associated with late preterm infancy? Select all that apply.
Jaundice Dehydration
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 assessment findings would lead the nurse to suspect that a newborn has developed jaundice? Select all that apply.
Reduced frequency of passing stool Decreased milk intake Weight loss greater than 7%
Which early feeding-readiness cues are exhibited for a breastfed newborn? Select all that apply.
Rooting reflex Suckling motions Hand-to-mouth movements
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 rationale would the nurse recognize for a client of South Asian origin feeding her neonate honey before breastfeeding?
The client believes it helps the infant pass meconium.
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.
Which condition would lead the nurse to advise a postpartum client to avoid direct breastfeeding?
The client has herpes simplex lesions on her breasts.
Which assessment finding would the nurse recognize as indicating a problem with latching?
The mother reports pain in her nipples while breastfeeding.
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
The nurse is caring for a lactating client who has undergone bariatric surgery. Which nutritional supplement would be beneficial to prevent a deficiency state in the mother and the infant?
Vitamin B12 supplement
For which vitamin deficiency is the infant at risk if the breastfeeding mother does not consume eggs or meat?
Vitamin B2 deficiency
Give the newborn expressed breast milk.
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 recommendations would the nurse make to a mother who reports, "My baby cries incessantly after waking up and does not focus on feeding."? Select all that apply.
"Allow the baby to suck your finger." "Swaddle the baby and talk soothingly." "Place the baby close to the skin."
A lactating client with tuberculosis (TB) has recovered from the infection and completed the TB medication 2 weeks ago. Which recommendation would the nurse provide the client about feeding her 4-month-old baby?
"Breastfeed your baby."
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 discussing the storage of breast milk with a client?
"Discard unused milk after a feeding within 2 hours."
Which recommendations would the nurse provide a postpartum client who intends to breastfeed but is very concerned about returning to her pre-pregnancy weight? Select all that apply.
"Even though more calories are needed for lactation, typically women who breastfeed lose weight more rapidly than women who bottle feed in the postpartum period." "Weight-loss diets are not recommended for women who breastfeed." "If breastfeeding, carefully regulate fluid consumption in response to your thirst level."
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 medical history would the nurse suspect when finding tremors and decreased serum calcium levels while assessing an infant?
The infant is receiving unmodified cow's milk.
Which provider prescription would the nurse expect for a 5-day-old newborn with hypoglycemia and delayed meconium passage?
Give the newborn expressed breast milk.
Which stool assessment finding would prompt the nurse to evaluate a newborn's breastfeeding effectiveness?
Greenish black, thick, and sticky meconium stools on the third day
Which infection in a postpartum client may be a contraindication for both breastfeeding and giving expressed breast milk?
Human T-cell lymphotropic virus
Which statement regarding infant weaning is accurate?
Weaning can be mother or infant initiated.
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.
