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:

Accepted Answer

Crying in newborns often indicates the need for burping. Burping should be done before feeding to remove any gas that may have built up in the stomach. Offering a pacifier before feeding may interfere with the newborn's ability to latch and breastfeed effectively. Unwrapping the newborn may result in the baby getting cold and uncomfortable. Stroking the newborn's spine and feet may soothe them, but it is not directly related to the need for burping before feeding.

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?

Accepted Answer

Feeding an infant in a supine position by propping the bottle can lead to milk entering the eustachian tubes, which can cause ear infections. An otoscopic exam of the ear drum would help assess for any signs of infection or complications related to this feeding practice.

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:

Accepted Answer

Swaddling the newborn in a blanket can make it more difficult for the baby to breastfeed as it restricts their movement and may make them feel too warm and sleepy. The other options are all effective ways to encourage a sleepy baby to breastfeed. Providing skin-to-skin contact helps the baby feel calm and secure, unwrapping the newborn allows for easier access to the breast, and allowing the newborn to feel and smell the mother's breast can stimulate their natural feeding reflexes.

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.

Accepted Answer

B) The mother should place her thumb at 12 o'clock and her index finger at 6 o'clock around the areola to create a C shape for milk expression. 
D) The mother should stretch the areola back toward her chest wall without lifting her fingers off the breast to help with milk expression. 
A) The mother should roll her thumb and fingers simultaneously forward to compress the milk ducts to express the milk. 
C) The sequence of steps should be repeated multiple times to fully drain 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?

Accepted Answer

The answer of A mother states that her breasts leak...

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:

Accepted Answer

The best choice is to offer 6-8 formula feedings every 24 hours. This will ensure that the baby is getting enough nutrition and has enough opportunities to eat throughout the day. Diluting formula with water or adding honey to the formula can both be harmful to the baby's health and should not be done without consulting a healthcare provider. Offering formula every 6-8 hours may not be enough to ensure proper weight gain in a newborn.

Question 7

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

Accepted Answer

Placing absorbent pads in the bra is an effective intervention for managing breast milk leakage. This can help prevent discomfort, embarrassment and also keep clothing dry. Decreasing the number of minutes the newborn is at the breast per feeding or decreasing the mother's fluid intake is not recommended as these can negatively impact milk supply. Administering oxytocin should only be done under the guidance of a healthcare provider and is not typically necessary for managing breast milk leakage.

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?

Accepted Answer

The epidural during labor could have affected the newborn's alertness levels and ability to feed. Epidurals can cross the placenta and affect the baby's central nervous system, leading to a depressed state after birth. The other factors listed are unlikely to have a direct impact on the newborn's behavior.

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?

Accepted Answer

The answer of A triage nurse receives a call from...

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?

Accepted Answer

Cow's milk is the most common dietary cause of food intolerance in breastfeeding infants. Consuming large amounts of cow's milk can cause irritability, fussiness, and colic in infants. Therefore, it is advisable for breastfeeding mothers to limit their intake of cow's milk and opt for alternative sources of calcium and other nutrients. Orange juice and decaffeinated tea are safe for consumption in moderate amounts, while water is essential for hydration and does not cause any intolerance in infants.

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.

Accepted Answer

The correct order of steps for proper breastfeeding is: 
B)Bring the newborn to breast, 
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, 
A)Tickle the newborn's lips with the nipple to encourage the newborn to open their mouth, 
C)Newborn opens her mouth wide to latch onto the nipple.

Question 12

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

Accepted Answer

A mother who is HIV-positive should not breastfeed her baby due to the risk of transmitting the virus to the infant through breast milk. It is important for this mother to seek medical guidance on safe feeding options for her baby.

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:

Accepted Answer

The answer of The nurse is caring for a new...

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.

Accepted Answer

- A) Stimulating peristalsis helps in the early passage of meconium, which can reduce the risk of jaundice.- C) Early feeding promotes maternal-infant bonding by taking advantage of the newborn's alert phases and encouraging skin-to-skin contact.- D) Early initiation of breastfeeding helps in the early passage of meconium, which reduces the reabsorption of bilirubin and thus decreases the risk of jaundice.

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?

Accepted Answer

Thawed breast milk can be stored in a refrigerator for up to 24 hours before it must be discarded.

Quiz 27: Newborn Nutrition