Family Health Exam II (with sherpath)
A pregnant woman's diet may not meet her need for folate. The nurse teaches the woman to take how much folate as a supplement each day? a.400 to 600 mcg b.400 to 800 mcg c.100 to 200 mcg d.200 to 400 mcg
400-800 mcg
Which reason explains why adequate amounts of folic acid are needed during pregnancy? Folic acid prevents birth defects. Folic acid prevents preterm labor. Folic acid increases iron absorption. Folic acid helps maintain the pregnancy.
Folic acid prevents birth defects.
A pregnant woman in the perinatal clinic is a recovering anorexic. She is distressed at the emphasis on weight gain. The nurse explains that the most important reason for evaluating the pattern of weight gain in pregnancy is to a.assess if this woman has relapsed. b.determine cultural influences on the woman's diet. c.identify potential nutritional problems or complications of pregnancy. d.prevent excessive adipose tissue deposits.
Identify potential nutritional problems or complications of pregnancy
As the nurse assists a new mother with breastfeeding, she asks, "If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?" The nurse's best response is that it contains a.more calcium. b.more calories. c.important immunoglobulins. d.essential amino acids.
Important immunoglobulins
A pregnant woman wants to breastfeed her infant; however, her husband is not convinced that there are any scientific reasons to do so. Which statement by the nurse is true? Bottle-feeding using commercially prepared infant formulas a.requires that multivitamin supplements be given to the infant. b.helps the infant sleep through the night. c.increases the risk that the infant will develop allergies. d.ensures that the infant is getting iron in a form that is easily absorbed.
Increases risk that the infant will develop allergies
According to the recommendations of the American Academy of Pediatrics (AAP) on infant nutrition a.Infants should be given only human milk for the first 6 months of life. b.After 6 months, mothers should shift from breast milk to cow's milk. c.If infants are weaned from breast milk before 12 months, they should receive cow's milk, not formula. d.Infants fed on formula should be started on solid food sooner than breastfed infants.
Infants should be given only human milk for the first 6 months of life
Which food or beverage is the most important for a pregnant woman at 32 weeks of gestation to consume before, during, and after her tennis matches? Extra protein sources, such as peanut butter crackers Salty foods to replace lost sodium Caffeinated energy water Several glasses of water
Several glasses of water
When responding to the question "Will I produce enough milk for my baby as she grows and needs more milk at each feeding?" the nurse should explain that a.early addition of baby food will meet the infant's needs. b.the breast milk will gradually become richer to supply additional calories. c.the mother's milk supply will increase as the infant demands more at each feeding. d.as the infant requires more milk, feedings can be supplemented with cow's milk.
The mother's milk supply will increase as the infant demands more at each feeding
Which phrases describe the goals of perinatal education classes? Select all that apply. To decrease anxiety related to childbirth To teach parents how to perform cardiopulmonary resuscitation (CPR) for their children To provide knowledge related to the labor process and birth To increase knowledge of comfort relief measures during labor To teach the expectant families how to parent and discipline their children
To decrease anxiety related to childbirth To provide knowledge related to the labor process and birth To increase knowledge of comfort relief measures during labor
Which nutritional recommendation about fluids is accurate? a.Water with fluoride is especially encouraged because it reduces the child's risk of tooth decay. b.A woman's daily intake should be 8 to 10 cups, and most of it should be water. c.Of the artificial sweeteners, only aspartame has not been associated with any maternity health concerns. d.Coffee should be limited to no more than 2 cups, but tea and cocoa can be consumed without worry.
A woman's daily intake should be 8 to 10 cups, and most should be water
The breastfeeding mother should be taught a safe method to remove the breast from the baby's mouth. Which suggestion by the nurse is most appropriate? a.A popping sound occurs when the breast is correctly removed from the infant's mouth. b.Break the suction by inserting your finger into the corner of the infant's mouth c.Elicit the Moro reflex to wake the baby and remove the breast when the baby cries. d.Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed.
Break the suction by inserting your finger into the corner of the infant's mouth
The nurse has taught a vegetarian pregnant woman foods that are high in iron. Which menu selections demonstrate good understanding of the material? (Select all that apply.) a.White bread b.Canned stewed tomatoes c.Peaches d.Raisin bran cereal e.Cooked soybeans
Canned stewed tomatoes Raisin bran cereal Cooked soy beans
Which are examples of appropriate techniques to wake a sleepy infant for breastfeeding? ( Select all that apply.) a.Slap the infant's hands and feet. b.Change the diaper. c.Unwrap the infant. d.Apply a cold towel to the infant's abdomen. e.Talk to the infant.
Change the diaper Unwrap the infant Talk to the infant
A pregnant woman is at a picnic and asks a friend of hers, who is a nurse, what foods she can eat. What response by the nurse is best? a.Hot dog b.Smoked salmon spread c.Cheddar cheese and crackers d.Bologna sandwich
Cheddar cheese and crackers
How can the nurse help the mother who is breastfeeding and has engorged breasts? a.Apply heat to her breasts between feeding and cold to the breasts just before feedings. b.Instruct and assist the mother to massage her breasts. c.Assist her in removing her bra, making her more comfortable. d.Suggest that she switch to bottled formula just for today.
Instruct and assist the mother to massage her breasts
To increase the absorption of iron in a pregnant woman, the nurse teaches her that iron preparations should be given with a.milk. b.coffee. c.orange juice. d.tea.
Orange juice
Which nursing instruction is appropriate when recommending food or drink to enhance the absorption of iron during pregnancy? Milk Water Cheese Orange juice
Orange juice
To initiate the milk ejection reflex, the mother should a.wear a firm-fitting bra. b.apply cool packs to her breast. c.place the infant to the breast d.drink plenty of fluids.
Place infant to her breast
In order to prevent nipple trauma, the nurse should teach the new mother to a.assess the nipples before each feeding. b.position the infant so the nipple is far back in the mouth. c.wash the nipples daily with mild soap and water. d.limit the feeding time to less than 5 minutes.
Position the infant so the nipple is far back in the mouth
The student nurse learns that the hormone necessary for milk production is a.lactogen. b.progesterone. c.estrogen. d.prolactin.
Prolactin
Which type of formula is not diluted before being administered to an infant? a.Powdered b.Ready-to-use c.Concentrated d.Modified cow's milk
Ready-to-use
For which reasons would patient education focus on smoking cessation during pregnancy? Select all that apply. Risk for low blood sugar Risk for premature birth Risk for congenital anomalies Risk for increased fetal circulation Risk for low birth weight
Risk for premature birth Risk for low birth weight
Which infant actions are common cues indicating a readiness to feed? Select all that apply. Sucking Rooting Mouthing Crying Hand-to-mouth movements Vocalizations
Rooting Mouthing Sucking Hand-to-mouth movements
Which nursing instruction is appropriate to give a pregnant woman who will be travelling in a car for 8 hours? Decrease fluid intake. Drive with minimal stops. Avoid travel by automobile. Stop frequently to walk.
Stop frequently to walk
Which factors are likely to support breastfeeding as the family's feeding method choice? Select all that apply: Support from family Formula access Cultural practices Return to work Health care provider knowledge
Support from family Cultural practices Health Care Provider knowledge
Which action would the nurse take for a breastfeeding mother who is afebrile but reports erythema and tenderness over her right breast? Apply cold compress. Administer local anesthetic. Teach breast massage technique. Administer intramuscular antibiotic.
Teach breast massage technique
The best reason for recommending formula over breastfeeding is that a.the mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk. b.the mother lacks confidence in her ability to breastfeed. c.the mother sees bottle-feeding as more convenient. d.other family members or care providers also need to feed the baby.
The mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk
The nurse should explain to new parents that the most serious consequence of propping an infant's bottle is a.aspiration. b.dental caries. c.ear infections. d.colic.
Aspiration
The student nurse learns that breastfed babies are less likely to develop certain health conditions as adults. Which conditions does this include? ( Select all that apply.) a.Asthma b.Diabetes c.Obesity d.Kidney failure e.Some cancers
Asthma Diabetes Obesity Some cancers
To prevent breast engorgement, the new breastfeeding mother should be instructed to a.breastfeed frequently and for adequate lengths of time. b.apply cold packs to the breast before feeding. c.limit her intake of fluids for the first few days. d.feed her infant no more than every 4 hours.
Breastfeed frequently and for adequate lengths of time
A new mother asks if she should feed her newborn colostrum, because it is not "real milk." The nurse's best answer is that a.colostrum is high in antibodies, protein, vitamins, and minerals. b.colostrum is unnecessary for newborns. c.giving colostrum helps the mother learn how to breastfeed. d.colostrum is lower in calories than milk and should be supplemented by formula.
Colostrum is high in antibodies, protein, vitamins, and minerals
Which type of commercial formula requires dilution with equal parts water? Ready-to-feed Concentrate Powder Hydrolysate formula
Concentrate
Recommendations to reduce the risk of Toxoplasmosis during pregnacy includes all of the following except? Have someone else change cat litter daily Throughly cook meat Eat fresh fruits and vegetables Separate raw meat from other foods in the refrigerator
Eat fresh fruit and vegetables
The nurse is assisting a normally active pregnant woman in developing a meal plan. Before she got pregnant, she ate 1800 calories a day. How many calories does she need now? a.2400 b.2000 c.2342 d.2140
2140
Four women are admitted to Labor and Delivery. Which woman met the goal for a healthy weight gain in pregnancy? a.17 years old, 5¢2² tall, initial weight 116 pounds, today's weight 120 pounds b.27 years old, 5¢6² tall, initial weight 112 pounds, today's weight 135 pounds c.24 years old, 5¢3² tall, initial weight 135, today's weight 182 pounds d.22 years old, 5¢2² tall, initial weight 230 pounds, today's weight 245 pounds
22 yrs old, 5'2, initial weight of 230, today's weight 245
Which advantages are associated with human milk (expressed and/or donor milk) feeding? Select all that apply. Improved infant immunity Lowest infant feeding-related costs Ability to track amount of milk consumed Easy storage and shelf life Others able to feed infant Promotes maternal-infant attachment
Improved infant immunity Ability to track amount consumed Others able to feed infant
A student nurse in the perinatal clinic sees the term "pica" on a woman's chart and asks the registered nurse what this means. What definition is most accurate? a.Intolerance of milk products b.Ingestion of nonfood substances c.Iron deficiency anemia d.Episodes of anorexia and vomiting
Ingestion of nonfood substances
What information about iron supplementation should the nurse teach a new mother? a.Start iron supplementation shortly after birth if the infant is breastfeeding exclusively. b.Iron-fortified formula will meet the infant's iron requirements. c.Iron supplements must be given when the infant begins teething. d.Infants need a multivitamin with iron every day.
Iron-fortified formula will meet the infant's iron requirements
Which duties are appropriate for a support person during labor? Select all that apply. Keeping patient calm Keeping track of contractions Interpreting fetal monitoring Administering pain medication Ensuring physical and emotional comfort
Keeping patient calm Keeping track of contractions Ensuring physical and emotional comfort
Which classes are appropriate for a 34-week pregnant patient and her partner who report being nervous about the upcoming delivery and baby care? Select all that apply. Newborn care Prenatal exercise Early prenatal care Preconception care Childbirth preparation
Newborn care Childbirth preparation
Which patient condition is a common breastfeeding cue in the first 24 hours following delivery? Mastitis Nipple soreness Plugged milk ducts Everted nipples
Nipple soreness
A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding. What signs and symptoms should the nurse include in her discussion? ( Select all that apply.) a.An area of redness on the breast often resembling the shape of a pie wedge b.Fever and flulike symptoms c.Breast tenderness d.Warmth in the breast e.A small white blister on the tip of the nipple
a.An area of redness on the breast often resembling the shape of a pie wedge b.Fever and flulike symptoms c.Breast tenderness d.Warmth in the breast
A new mother wants to be sure that she is meeting her daughter's needs while feeding her commercially prepared infant formula. The nurse determines that the mother meets her child's needs when she a.warms the bottles using a microwave oven. b.adds rice cereal to her formula at 2 weeks of age to ensure adequate nutrition. c.refrigerates any leftover formula for the next feeding. d.burps her infant during and after the feeding as needed.
burps her infant during and after the feeding as needed
A postpartum woman telephones about her 4-day-old infant. She is not scheduled for a weight check until the infant is 10 days old, and she is worried about whether breastfeeding is going well. Effective breastfeeding is indicated by the newborn who a.has at least one breast milk stool every 24 hours. b.gains 1 to 2 ounces per week. c.has at least six to eight wet diapers per day. d.sleeps for 6 hours at a time between feedings.
has at least six to eight wt diapers per day
The nurse explains to the expectant mother that which vitamin or mineral can lead to congenital malformations of the fetus if taken in excess by the mother? a.Zinc b.Folic acid c.Vitamin A d.Vitamin D
Vitamin A
When teaching about infant feeding cues in the first days of life, which solution can the nurse consider to encourage the best time to initiate breastfeeding? Whenever the newborn begins to cry Every 2 hours, around the clock When the infant is in the quiet alert state When the newborn naturally wakes itself up, regardless of the time interval
When the infant is in the quiet alert state
A primiparous woman wants to begin breastfeeding as soon as possible. The nurse can facilitate the infant's correct latch-on by helping the woman hold the infant a.with his arms folded together over his chest. b.curled up in a fetal position. c.with his head and body in alignment. d.with his head cupped in her hand.
With his head and body in alignment
Which pregnant woman should have the least weight gain during pregnancy? a.Woman who was obese before pregnancy b.Woman shorter than 62 inches or 157 cm c.Woman in early adolescence d.Woman pregnant with twins
Woman who was obese before pregnancy
A woman wants to breastfeed, but her nipples are inverted and she is concerned it won't be possible. What does the nurse teach the woman about this condition? a.A woman with inverted nipples rarely is successful at breastfeeding. b.Try changing the infant's position during feedings. c.Massage the breasts prior to feeding to allow milk let-down. d.You can use a breast pump just prior to feeding to evert the nipples.
You can use a breast pump just prior to feeding to evert the nipples
For which condition would the nurse teach the family that breastfeeding is contraindicated but feeding expressed breast milk is safe? Infant galactosemia Mother with human immunodeficiency virus (HIV) Mother with active tuberculosis Mother with active herpes simplex virus (HSV) lesions on the breast
Mother with active TB
Which nursing response is appropriate for a 20-week gestation woman who is concerned about gaining 12 lb (5.4 kg) in her pregnancy? "I will tell the health care provider that you are worried. The health care provider will tell you what to do." "Your weight gain is about average for this point in your pregnancy. What concerns you about it?" "You really have gained a lot! I will consult with the nutritionist for you." "A lot of your weight gain is probably fluid. I suggest you decrease your fluid intake and increase your salt intake."
"Your weight gain is about average for this point in your pregnancy. What concerns you about it?"
A patient in the early postpartum period asks, "How do I know if my baby is getting enough breast milk? I don't feel anything there." What are the desirable outcomes? Select all that apply. "A good way to tell if your baby is taking in enough breast milk is if you continue to see enough wet and soiled diapers." "If your baby is gaining weight with each checkup at the pediatrician, it usually means your baby is getting enough breast milk." "If your baby actively participates in a feeding, you can hear swallowing and your baby seems content in between feeding. These are all signs that your baby is satisfied with the quantity of breast milk your body is producing." "If your baby feeds for at least 10 minutes on each breast with every feed, you know your baby is getting enough breast milk." "When your milk comes in, your breasts will feel full and most women will feel a milk letdown. This is a good sign that your body is producing enough breast milk for your baby."
"A good way to tell if your baby is taking in enough breast milk is if you continue to see enough wet and soiled diapers." "If your baby is gaining weight with each checkup at the pediatrician, it usually means your baby is getting enough breast milk." "If your baby actively participates in a feeding, you can hear swallowing and your baby seems content in between feeding. These are all signs that your baby is satisfied with the quantity of breast milk your body is producing." "When your milk comes in, your breasts will feel full and most women will feel a milk letdown. This is a good sign that your body is producing enough breast milk for your baby."
Which statement by a pregnant woman would suggest that she needs further teaching about the purpose of childbirth education classes? "Childbirth preparation programs will increase my sense of control." "Childbirth preparation programs will help prepare my support person to help during labor." "Childbirth preparation programs guarantee a pain-free childbirth." "Childbirth preparation programs teach distraction techniques."
"Childbirth preparation programs guarantee a pain-free childbirth."
Which recommendations would the nurse make to the family whose newborn falls asleep after 2 to 3 minutes of breastfeeding? Select all that apply. "The baby needs to be awakened, so unwrap the newborn and gently stroke his palms or soles." "This is a sign that the newborn is full, so breastfeeding should stop until the baby shows hunger cues." "Change the newborn's diaper to wake your newborn up." "The newborn is having trouble establishing breastfeeding, so switch to bottle feeding." "This is a sign of nipple confusion, so provide pacifiers between feedings."
"The baby needs to be awakened, so unwrap the newborn and gently stroke his palms or soles." "Change the newborn's diaper to wake your newborn up."
A breastfeeding mother who was discharged yesterday calls to ask about a tender, hard area on her right breast. The nurse's first response should be a."This is a normal response in breastfeeding mothers." b."Try massaging the area and apply heat, as this is probably a plugged duct." c."Notify your doctor so he can start you on antibiotics." d."Stop breastfeeding because you probably have an infection."
"Try massaging the area and apply heat, as this is probably a plugged duct."
Which education would the nurse provide a mother who reports latch difficulty with breastfeeding? "The newborn is likely sleepy. You should wait until the baby is fully awake." "Use a breast pump for a few minutes before feedings to increase nipple size." "Wait until the mouth is open wide to insert the nipple into the newborn's mouth." "Apply ointment to the nipple. It has a sweet taste and will prompt the newborn to breastfeed."
"Wait until the mouth is wide open to insert the nipple into the newborns mouth"
A new mother recalls that she should feed her newborn when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically. Based on this information, this woman should feed her infant when she a.makes sucking motions. b.waves her arms in the air. c.stretches out her legs straight. d.has hiccups.
Makes sucking motion