A breastfeeding mother is being educated on a safe method to remove her breast from her baby's mouth. Which intervention is most appropriate?

Elicit the Moro reflex to wake the baby and remove the breast when the baby cries.

Pull the breast and nipple from the baby's mouth.

Break the suction by inserting your finger into the corner of the infant's mouth.

A popping sound occurs when the breast is correctly removed from the infant's mouth.

Answer and Explanation

The Correct Answer is C

A. Eliciting the Moro reflex to wake the baby is unsafe and unnecessary. This method involves startling the infant, which can cause distress and may result in injury to the nipple, infant’s gums, or palate. It does not address the correct technique for breaking suction safely.

B. Pulling the breast or nipple directly from the baby’s mouth can lead to significant nipple trauma, including cracking, bleeding, and pain, and may also injure the infant’s mouth. This method is considered unsafe and is strongly discouraged in breastfeeding education.

C. Breaking the suction by gently inserting a clean finger into the corner of the infant’s mouth is the recommended technique. This action releases the latch safely, prevents nipple trauma, and allows the infant to unlatch without discomfort. It ensures that both the mother and baby remain safe during breastfeeding, and it supports proper feeding practices.

D. Relying on a popping sound as an indicator of safe breast removal is unreliable and can be misleading. Attempting to remove the breast based on sound alone may result in abrupt or forceful removal, causing pain or injury to the mother’s nipple and the infant’s oral tissues.

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Correct Answer is A

Explanation

A. Burping the infant during and after feeding is an important practice to release swallowed air, reduce discomfort, and prevent spitting up or gas. Burping as needed and during natural pauses in feeding demonstrates proper technique and understanding of infant feeding safety and comfort, indicating correct learning.

B. Adding rice cereal to formula at 2 weeks of age is not recommended. Early introduction of solids or thickened formula can increase the risk of aspiration, overfeeding, and gastrointestinal complications. Solid foods are generally introduced at about 4–6 months of age when the infant is developmentally ready.

C. Warming a bottle in a microwave oven is unsafe. Microwaves can cause uneven heating and “hot spots”, which may burn the infant’s mouth or throat. Safe warming methods include placing the bottle in warm water or using a bottle warmer.

D. Refrigerating leftover formula for the next feeding is inappropriate. Prepared formula should be used within 1–2 hours of feeding, and any leftover milk or formula from a feeding should be discarded to prevent bacterial growth and potential infection.

A. The fetus is hypoxic B. The fetus has tachycardia C. The fetus has bradycardia D. Normal acid-base balance, no intervention is needed

Correct Answer is D

Explanation

A. Fetal hypoxia is typically indicated by abnormal FHR patterns, such as late decelerations, decreased or absent variability, bradycardia, or prolonged decelerations. In this scenario, the FHR shows a normal baseline, moderate variability, and accelerations, all of which suggest adequate oxygenation and fetal well-being.

B. Tachycardia is defined as a baseline FHR greater than 160 beats per minute. Causes of fetal tachycardia can include maternal fever, infection, medications, or fetal hypoxia, but this fetus has a baseline of 135 bpm, which is within the normal range of 110–160 bpm, so tachycardia is not present.

C. Bradycardia is defined as a baseline FHR less than 110 beats per minute. Causes of bradycardia can include prolonged cord compression, maternal hypotension, or congenital heart conditions, but this fetus has a baseline of 135 bpm, ruling out bradycardia.

D. This fetus exhibits a reassuring FHR pattern characterized by a normal baseline indicating adequate cardiac function, moderate variability reflecting an intact autonomic nervous system and good oxygenation, presence of accelerations demonstrating a responsive, well-oxygenated fetus, and absence of decelerations, indicating there is no evidence of uteroplacental compromise or cord compression.

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A breastfeeding mother is being educated on a safe method to remove her breast from her baby's mouth. Which intervention is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the new mother's knowledge about appropriate infant bottle feeding techniques. Which statement by the client reassures the nurse that correct learning has taken place?

Correct Answer is A

Explanation

During labor a fetus displays an average fetal heart rate (FHR) of 135 beats per minute over a 10-minute period with moderate variability, accelerations are present, and no decelerations are noted by the nurse. Which statement best describes the status of this fetus?

Correct Answer is D

Explanation

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