Question 1

Which instruction should the nurse provide to reduce the risk of nipple trauma?

Accepted Answer

Positioning the infant so the nipple is far back in the mouth ensures that the infant is properly latched on and reduces the risk of nipple trauma. Limiting feeding time to less than 5 minutes may not provide adequate nutrition for the infant and washing the nipples daily with mild soap and water can dry out the skin, leading to cracking and tissue damage. While assessing the nipples before each feeding is important, it alone may not prevent nipple trauma.

Question 2

A new mother asks whether she should feed her newborn colostrum,because it is not "real milk." What is the nurse's most appropriate answer?

Accepted Answer

Colostrum is not only "real milk," but it is also highly beneficial for newborns. It is rich in antibodies that help protect against infection, protein for growth, and essential vitamins and minerals. Colostrum is also important in establishing breastfeeding and should be offered as soon as possible after birth. Formula supplementation is not necessary unless medically indicated.

Question 3

Which statements concerning the benefits or limitations of breastfeeding are accurate? (Select all that apply. )

Accepted Answer

Breast milk changes over time to meet the changing needs of infants and contains nutrients that are important for cognitive development. Long-term studies have shown that the benefits of breast milk continue after the infant is weaned, and breastfeeding is associated with a reduced incidence of SIDS. However, breastfeeding does not increase the risk of childhood obesity.

Question 4

As the nurse assists a new mother with breastfeeding,the client asks,"If formula is prepared to meet the nutritional needs of the newborn,what is in breast milk that makes it better?" What is the nurse's best response?

Accepted Answer

Breast milk contains important immunoglobulins that provide newborns with passive immunity against infections and disease. Formula does not contain these antibodies.

Question 5

A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding.Which findings should the nurse include in the discussion? (Select all that apply. )

Accepted Answer

Breast tenderness, warmth in the breast, a characteristic area of redness on the breast that often resembles the shape of a pie wedge, and fever and flu-like symptoms are all common signs and symptoms of mastitis. A small white blister on the tip of the nipple is not a sign of mastitis, but may be a sign of a blocked milk duct or nipple injury.

Question 6

Which actions are examples of appropriate techniques to wake a sleepy infant for breastfeeding? (Select all that apply. )

Accepted Answer

Unwrapping the infant, changing the diaper, and talking to the infant are all gentle and appropriate techniques to wake a sleepy infant for breastfeeding. Slapping the infant's hands and feet or applying a cold towel to the infant's abdomen are not appropriate and can be harmful to the infant. It's important to handle the infant gently and avoid any rough movements or actions.

Question 7

The AAP recommends pasteurized donor milk for preterm infants if the mother's own milk in not available.Which statements regarding donor milk and milk banking are important for the nurse to understand and communicate to her client? (Select all that apply. )

Accepted Answer

A) All milk bank donors undergo a thorough screening process for communicable diseases to ensure the safety of the milk for the infants who will receive it. This is a critical step in the process of milk banking.C) Donor milk can be a valuable nutritional resource for transplant clients, especially in cases where immunosuppression might make them more susceptible to infections or when they need high-quality nutrition to support their recovery.E) Children with immunoglobulin A (IgA) deficiencies can benefit from donor milk because it contains beneficial antibodies, including IgA, which can help protect against infections and support the child's immune system.

Quiz 25: Newborn Nutrition and Feeding