Question 1

Which parental statement regarding newborn readiness to nurse indicates the need for further education?&#10;A) &#34;The rooting reflex indicates that my baby is ready to breastfeed.&#34;&#10;B) &#34;When my baby makes hand-to-mouth movements,this indicates readiness for breastfeeding.&#34;&#10;C) &#34;My baby will make tongue movements to indicate breastfeeding readiness.&#34;&#10;D) &#34;My baby will initiate the palmar grasp when ready to breastfeed.&#34;&#10;

Accepted Answer

The palmar grasp is a reflex that occurs when something touches the palm of a newborn's hand, and it is not an indication of readiness to breastfeed. The rooting reflex (A), hand-to-mouth movements (B), and tongue movements (C) are all signs of a newborn's readiness to breastfeed.

Question 2

Which mother might benefit from bottle feeding rather than breastfeeding?&#10;A) A mother diagnosed with epilepsy who takes medications that pass through the breast milk&#10;B) A mother who will return to work 12 weeks after childbirth&#10;C) A mother with inverted nipples who delivered by Cesarean section&#10;D) A mother with two other small children at home&#10;

Accepted Answer

A mother diagnosed with epilepsy who takes medications that pass through the breast milk may need to opt for bottle feeding to avoid exposing her baby to the medication. It is important to consult a healthcare provider for guidance in such cases.

Question 3

Which is a disadvantage of bottle feeding?&#10;A) Purchasing formula for the first year of life&#10;B) Pumping breast milk&#10;C) Leaking breast milk&#10;D) Having to avoid certain medications&#10;

Accepted Answer

Purchasing formula for the first year of life is a disadvantage of bottle feeding as unlike breast milk, formula milk needs to be purchased which can be expensive over the course of a year.

Question 4

When determining a term newborn's caloric needs,which should the nurse use?&#10;A) 60 to 80 kcal/kg/day&#10;B) 105 to 108 kcal/kg/day&#10;C) 110 to 120 kcal/kg/day&#10;D) 140 to 160 kcal/kg/day&#10;

Accepted Answer

A term newborn typically requires about 105 to 108 kcal/kg/day to support growth and development.

Question 5

Which parental action indicates the need for additional teaching related to bottle feeding?&#10;A) Mixing rice cereal with formula and feeding it to the baby with a spoon&#10;B) Providing juice through a bottle at 5 months of age&#10;C) Allowing the baby to drink water at 9 months of age&#10;D) Adding an equal amount of water and concentrated formula when mixing a bottle&#10;

Accepted Answer

Providing juice through a bottle at 5 months of age indicates a need for additional teaching related to bottle feeding. Juice should not be given to infants under 6 months of age, and when it is introduced, it should be given in a cup, not a bottle. The other choices do not necessarily indicate a need for additional teaching on bottle feeding. Mixing rice cereal with formula and feeding it to the baby with a spoon is a common practice for introducing solid foods, allowing the baby to drink water at 9 months of age is appropriate, and adding an equal amount of water and concentrated formula is a method for diluting the formula to the appropriate strength.

Question 6

Which type of breast milk is produced in stage 1 of human milk production?&#10;A) Foremilk&#10;B) Colostrum&#10;C) Hindmilk&#10;D) Transitional milk&#10;

Accepted Answer

During stage 1 of human milk production, colostrum is produced. Colostrum is thick, yellowish in color, and rich in antibodies and nutrients, providing newborns with a strong immune system and nutritional support during the first few days of life. Foremilk and hindmilk are produced during stage 2, while transitional milk is produced during stage 3 of human milk production.

Question 7

Which parental statement indicates the need for further education related to formula preparation?&#10;A) &#34;Any unused formula should be thrown out after 24 hours.&#34;&#10;B) &#34;I will add equal amounts of formula and water when using concentrated formula.&#34;&#10;C) &#34;Ready-to-use formula can be further diluted if my baby experiences constipation.&#34;&#10;D) &#34;Powder formula is mixed with tap water and poured in a bottle for feedings.&#34;&#10;

Accepted Answer

Ready-to-use formula should not be further diluted as it is already prepared for consumption. Diluting it can lead to inadequate nutrition for the baby. The other statements correctly provide instructions for formula preparation.

Question 8

Which term should the nurse use when documenting a new mother's milk production in the medical record?&#10;A) Lactoferrin&#10;B) Lactogenesis&#10;C) Galactosemia&#10;D) Engorgement&#10;

Accepted Answer

Lactogenesis is the term used to describe the process of milk production in the breast tissue of new mothers. Lactoferrin is a protein found in breast milk that helps with iron absorption in infants. Galactosemia is a genetic disorder that affects the body's ability to metabolize galactose, a sugar found in milk. Engorgement refers to the swelling and discomfort that can occur in the breast tissue when milk production increases.

Question 9

Which patient condition contraindicates breastfeeding?&#10;A) Maternal HIV&#10;B) Newborn jaundice&#10;C) Newborn prematurity&#10;D) Maternal intake of antibacterial medications&#10;

Accepted Answer

Maternal HIV is a contraindication for breastfeeding as the virus can be transmitted to the infant through breast milk. In this case, alternative forms of infant feeding should be considered.

Question 10

Which statements regarding the disadvantages of breastfeeding should the nurse include in an educational session for a pregnant woman? (Select all that apply.)&#10;A) &#34;Breastfeeding is economical.&#34;&#10;B) &#34;Breastfeeding in public may cause embarrassment.&#34;&#10;C) &#34;Certain medications may interfere with breastfeeding.&#34;&#10;D) &#34;It may be necessary to wear breast pads because of leakage while breastfeeding.&#34;&#10;E) &#34;Breastfeeding provides your baby with protection from certain illnesses and diseases.&#34;&#10;

Accepted Answer

Breastfeeding in public may cause embarrassment, certain medications may interfere with breastfeeding, and it may be necessary to wear breast pads because of leakage while breastfeeding are disadvantages of breastfeeding.

Question 11

Which nursing action assists the mother of a newborn who wants to breastfeed?&#10;A) Providing formula to the newborn in the nursery&#10;B) Encouraging rooming-in during the hospital stay&#10;C) Giving the newborn a pacifier between feedings&#10;D) Encouraging bottle feeding overnight to allow for rest&#10;

Accepted Answer

The answer of Which nursing action assists the mother of...

Question 12

Which maternal conditions will cause the nurse to educate a new mother that formula,not breast milk,should be used for newborn nutrition? (Select all that apply.)&#10;A) Hypertension (HTN)&#10;B) Bipolar disorder (BD)&#10;C) Diabetes mellitus (DM)&#10;D) Active tuberculosis (TB)&#10;E) HIV&#10;

Accepted Answer

The answer of Which maternal conditions will cause the nurse...

Question 13

Which statement made by the mother of a bottle-feeding newborn necessitates the need for additional education related to safety?&#10;A) &#34;I use a cup of warm water to heat the formula prior to feedings.&#34;&#10;B) &#34;I prop the bottle only if I need to multitask during feedings.&#34;&#10;C) &#34;I always follow the instructions for mixing powdered formula.&#34;&#10;D) &#34;I can begin to give my baby juice at 6 months of age.&#34;&#10;

Accepted Answer

The answer of Which statement made by the mother of...

Question 14

Which parental statements regarding newborn readiness to nurse indicate correct understanding of the information provided? (Select all that apply.)&#10;A) &#34;The rooting reflex indicates that my baby is ready to breastfeed.&#34;&#10;B) &#34;When my baby makes hand-to-mouth movements,this indicates readiness for breastfeeding.&#34;&#10;C) &#34;My baby will make tongue movements to indicate breastfeeding readiness.&#34;&#10;D) &#34;My baby will initiate the palmar grasp when ready to breastfeed.&#34;&#10;E) &#34;The Babinski reflex indicates that my baby is ready to breastfeed.&#34;&#10;

Accepted Answer

The answer of Which parental statements regarding newborn readiness to...

Question 15

Which statement regarding the advantages of breastfeeding should the nurse include in an educational session for a pregnant woman?&#10;A) &#34;Breastfeeding is economical.&#34;&#10;B) &#34;Breastfeeding in public may cause embarrassment.&#34;&#10;C) &#34;Certain medications may interfere with breastfeeding.&#34;&#10;D) &#34;It may be necessary to wear breast pads because of leakage while breastfeeding.&#34;&#10;

Accepted Answer

The answer of Which statement regarding the advantages of breastfeeding...

Question 16

Which parental statement regarding latch-on during breastfeeding indicates the need for additional teaching by the nurse?&#10;A) &#34;I will cup my breast with my fingers to help my baby latch on while breastfeeding.&#34;&#10;B) &#34;I should place my thumb on the bottom of my breast when helping my baby latch on during breastfeeding.&#34;&#10;C) &#34;I should avoid covering the areola with my hand while assisting my baby to latch on during breastfeeding.&#34;&#10;D) &#34;I should brush my nipple lightly across my baby's lips to assist with latch-on during breastfeeding.&#34;&#10;

Accepted Answer

The answer of Which parental statement regarding latch-on during breastfeeding...

Question 17

Which data collected during a newborn wellness visit indicate the need for further intervention?&#10;A) Losing 5% of the birth weight&#10;B) Failing to gain back initial weight loss by day 7 of life&#10;C) Having two bowel movements each day&#10;D) Changing four wet diapers each day&#10;

Accepted Answer

The answer of Which data collected during a newborn wellness...

Question 18

Which must occur for lactogenesis to occur?&#10;A) A slow drop in estrogen level after childbirth&#10;B) An increase in progesterone level prior to childbirth&#10;C) An increase in prolactin with nipple stimulation&#10;D) A dramatic drop in oxytocin level with nipple stimulation&#10;

Accepted Answer

The answer of Which must occur for lactogenesis to occur?&#10;A)...

Question 19

Which parental statements indicate correct understanding of the characteristics and benefits of colostrum? (Select all that apply.)&#10;A) &#34;It contains high levels of protein.&#34;&#10;B) &#34;It will provide my baby with protection against certain diseases.&#34;&#10;C) &#34;It has a laxative effect,facilitating the meconium stools.&#34;&#10;D) &#34;It contains high levels of both carbohydrates and fats.&#34;&#10;E) &#34;It has a high water content,decreasing the risk for dehydration.&#34;&#10;

Accepted Answer

The answer of Which parental statements indicate correct understanding of...

Question 20

A nursing mother states,&#34;I think my baby has developed nipple confusion.&#34; Which question should the nurse ask to further assess the mother's statement?&#10;A) &#34;How often are you changing your breast pads?&#34;&#10;B) &#34;How many weeks have you been breastfeeding?&#34;&#10;C) &#34;Are you offering both breasts each time you nurse?&#34;&#10;D) &#34;Are you using the breast shield recommended by the lactation consultant?&#34;&#10;

Accepted Answer

The answer of A nursing mother states,&#34;I think my baby...

Deck 17: Newborn Nutrition