Deck 19: Nutritional Needs of a Newborn

Question 1

A pregnant patient in labor asks the nurse how soon the baby can be breastfed after delivery. What should the nurse respond to the patient?

A) Immediately after birth
B) After the infant is allowed to rest
C) In 24 hours after her infant is given water
D) Once the infant has a first feeding of formula

Answer 1

Immediately after birth

Question 2

The nurse is explaining the process of breast milk production with a patient pregnant with her first child. What should the nurse include when providing this teaching? (Select all that apply.)

A) Breast milk is thin, yellow, and watery.
B) For the first 3 to 4 days, the breast milk is colostrum.
C) Uterine cramping is a contraindication to breastfeeding.
D) True breast milk comes in by the 10th day after giving birth.
E) Most mothers have breast milk by the first day after giving birth.

Answer 2

For the first 3 to 4 days, the breast milk is colostrum.
True breast milk comes in by the 10th day after giving birth.

Question 3

During a home visit, the nurse learns that a new mother is experiencing breast engorgement. What should the nurse recommend to help alleviate this problem?

A) Discontinuing breastfeeding for 24 hours
B) Having her apply lanolin cream to each breast
C) Encouraging her to continue regular breastfeeding
D) Decreasing her fluid intake to below 500 ml per 24 hours

Answer 3

Encouraging her to continue regular breastfeeding

Question 4

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?

A) Breastfeeding helps the mother return to prepregnancy weight faster.
B) Three months is the recommended time frame for the baby's nutrition.
C) Breast milk can be donated so that preterm infants can have additional nutrition.
D) Six months to 1 year of age is the best time frame to support the baby's growth needs.

Question 5

A new mother is concerned that the baby is not going to receive enough calories from breast milk to grow. What should the nurse instruct the mother as the daily caloric requirements per pound of weight for a newborn?

A) 50 to 55
B) 100 to 120
C) 150 to 170
D) 200 to 225

Question 6

The nurse is teaching a pregnant patient about the nutritional value of breast milk. What information should the nurse include about the number of calories in a fluid ounce?

A) 12
B) 20
C) 24
D) 30

Question 7

A pregnant patient had decided to breastfeed the infant but, after delivery, tells the nurse that formula feeding would be the best choice for her now. What nursing diagnosis should the nurse use to plan this patient's care?

A) Anxiety
B) Ineffective coping
C) Imbalanced nutrition
D) Risk for impaired parenting

Question 8

The nurse is evaluating a new mother's ability to breastfeed her infant. Which criteria indicate that the mother is able to breastfeed independently? (Select all that apply.)

A) Nipples are everted.
B) Breasts are soft and nontender.
C) Mother holds the nipple in the baby's mouth.
D) Baby swallows spontaneously and frequently.
E) Nurse places pillows under the baby for support.

Question 9

The nurse is preparing a seminar on breastfeeding for a group of pregnant patients. Which information should the nurse include during this seminar?

A) Uterine involution is slowed by breastfeeding.
B) Breastfeeding enhances bonding with the infant.
C) Breastfeeding might increase the risk of breast cancer.
D) Breastfeeding mothers have a decreased risk of developing thrombophlebitis.

Question 10

A new mother asks the nurse to explain the difference between breastfeeding and formula when feeding a newborn. What should the nurse respond as an advantage of breastfeeding for the infant?

A) Breast milk leads to firmer stools, increasing bowel tone.
B) It takes less effort for an infant to suck at a breast than from a bottle.
C) Breast milk is more difficult to digest, so it makes the infant feel fuller longer.
D) Breast milk contains antibodies and decreases the possibility of gastrointestinal illnesses.

Question 11

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?

A) "Have you discussed this concern with your physician?"
B) "The size of breasts does not impact the amount of breast milk that is made."
C) "The baby's diet can be supplemented with formula beginning on the second day."
D) "No woman has to worry about milk production as long as she feeds the baby frequently."

Question 12

The nurse is assisting a new mother begin breastfeeding. Which action is the most appropriate for the nurse to take at this time?

A) Positioning the infant near her breast and stroking his cheek to encourage him to suck
B) Stressing that breastfeeding is a normal process and will need minimal help learning it
C) Cautioning her not to allow the infant to grasp the areola of her breast to prevent soreness
D) Encouraging her to lie on her side and help the baby become wide awake by talking to him

Question 13

During a home visit, a new mother tells the nurse that her nipples are sore from breastfeeding. What should the nurse instruct the mother at this time? (Select all that apply.)

A) Insert plastic liners into the nursing bra.
B) Apply lanolin to nipples after air exposure.
C) Expose the nipples to air so the nipple dries.
D) Position the baby differently for each feeding.
E) Massage a few drops of breast milk to the areola.

Question 14

A new mother asks the nurse how to determine if the baby is receiving enough breast milk. What response should the nurse make to the mother?

A) "The infant should not become constipated."
B) "The infant should sleep at least 3 hours between feedings."
C) "You need to weigh the infant before and after each feeding."
D) "The infant should gain weight and have six wet diapers daily."

Question 15

A new mother asks the nurse what medications she can and cannot take into her body because it might affect breast milk. What should the nurse respond to this mother's request?

A) Almost all drugs are excreted to some extent in breast milk.
B) A mother should halt breastfeeding for 1 week after taking any drug.
C) A mother can plan on taking common over-the-counter drugs without difficulty.
D) A mother has to limit her exposure to narcotics and sedatives while breastfeeding.

Question 16

During a routine health visit, the mother of a 6-month-old baby mentions that she would like to begin weaning the baby from breastfeeding. What teaching should the nurse provide to the mother at this time?

A) Apply heat to the breasts to suppress breast milk production.
B) Discontinue gradually by omitting one breastfeeding session a day.
C) Instead of breastfeeding the baby, pump the breasts to reduce pressure.
D) Provide a bottle of regular milk to supplement one breastfeeding session.

Question 17

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?

A) 20 to 24 oz
B) 30 to 36 oz
C) 42 to 54 oz
D) 60 to 72 oz