Deck 27: Newborn Nutrition

Question 1

The nurse is assisting a mother to feed her newborn.The newborn has been crying.The nurse suggests that prior to feeding,the mother should:

A)Offer a pacifier.
B)Burp the newborn.
C)Unwrap the newborn.
D)Stroke the newborn's spine and feet.

Answer 1

Burp the newborn.

Question 2

A nurse is performing an assessment on an infant whose mother states that she feeds her infant in a supine position by propping the bottle.Based on this information,what would the nurse include in her assessment?

A)Otoscopic exam of the ear drum
B)Bowel sounds
C)Vital signs
D)Skin assessment

Answer 2

Otoscopic exam of the ear drum

Question 3

A nurse is teaching a new mother how to encourage a sleepy baby to breastfeed.All of the following activities are taught except:

A)Providing skin-to-skin contact.
B)Swaddling the newborn in a blanket.
C)Unwrapping the newborn.
D)Allowing the newborn to feel and smell the mother's breast.

Answer 3

Swaddling the newborn in a blanket.

Question 4

A premature newborn is unable to suck at the breast.The nurse plans care for the mother,who is going to hand-express milk.Arrange the steps for instruction to the mother in logical order to teach her this technique of milk expression.

A)Roll the thumb and fingers simultaneously forward.
B)Position the thumb at 12:00 and forefinger at 6:00 around the areola.
C)Repeat the sequence multiple times to completely drain the breasts.
D)Stretch the areola back toward the chest wall without lifting the fingers off the breast.

Question 5

A mother states that her breasts leak between feedings.Which of the following can contribute to the letdown reflex in breastfeeding mothers?

A)Pain with breastfeeding
B)Number of hours passed since last feeding
C)The newborn's cry
D)Maternal fluid intake

Question 6

A new mother is concerned her newborn is not gaining enough weight.To encourage proper weight gain,the mother should be instructed to:

A)Dilute formula with water.
B)Offer 6-8 formula feedings every 24 hours.
C)Offer formula every 6-8 hours.
D)Add honey to the formula to increase the caloric intake.

Question 7

When a breastfeeding mother complains that her breasts are leaking milk,the nurse could offer which effective intervention?

A)Decrease the number of minutes the newborn is at the breast per feeding.
B)Decrease the mother's fluid intake.
C)Place absorbent pads in the bra.
D)Administer oxytocin.

Question 8

A mother is concerned that her newborn doesn't appear to be alert enough to feed and is very irritable.Which of the following data documented in the mother's birth record might contribute to this newborn's behavior?

A)Length of labor was 8 hours.
B)Epidural during labor
C)Blood pressure of 114/82
D)Short second stage of labor

Question 9

A triage nurse receives a call from a mother of an infant who appears pale,is "breathing fast," and appears sleepy while feeding.What data would the nurse need to gather next?

A)Newborn's daily iron intake
B)Number of wet diapers a day
C)Skin color
D)Bilirubin level

Question 10

A nurse is evaluating the diet plan of a breastfeeding mother.Which of the following drinks is most likely to cause an intolerance for the infant?

A)Orange juice
B)Milk
C)Decaffeinated tea
D)Water

Question 11

A nurse is demonstrating the proper steps for breastfeeding a newborn to a client.Put these steps in the logical order that would assist the client in placing the newborn to her breast.

A)Tickle the newborn's lips with the nipple.
B)Bring the newborn to breast.
C)Newborn opens her mouth wide.
D)Have the newborn face the mother tummy to tummy.
E)Position the newborn so the newborn's nose is at level of the nipple.

Question 12

Which of the following mothers definitely should be counseled against breastfeeding?

A)A mother with a poorly balanced diet
B)A mother who is overweight
C)A mother who is HIV-positive
D)A mother who has twins

Question 13

The nurse is caring for a new breastfeeding mother who is from Pakistan.The nurse plans her care so that the newborn is offered the breast on the:

A)Day of birth.
B)First day after birth.
C)Second day after birth.
D)Third to fourth day after birth.

Question 14

The nurse encourages a new mother to feed the newborn as soon as the newborn shows interest.The nurse bases this recommendation on which of the following benefits of early feedings? Select all that apply.

A)Stimulates peristalsis.
B)Colostrum is thinner than mature milk.
C)Enhances maternal-infant attachment.
D)Decreases the risk of jaundice.
E)Colostrum contains a high number of calories.

Question 15

The nurse is caring for a premature infant in the NICU,and is going to attempt a bottle feeding with thawed breast milk.How long can thawed breast milk be stored in the refrigerator before the nurse must discard it?

A)4 hours
B)8 hours
C)12 hours
D)24 hours