A mother who is holding her 2-hour-old newborn says, "I don't think she likes breastfeeding, but last time, when we were in the delivery room, she did really well.”. Which is the nurse's best response?
"Your milk isn't in yet. That is why she acts disinterested in eating.".
"Let me help you get her to latch on. Once she takes hold, she'll be fine.".
"After birth, babies go into a deep sleep, but when she wakes up, she'll be hungry.".
"You just need to wake her up so she'll be alert and ready to eat.".
The Correct Answer is B
Choice A rationale:
This response would not be appropriate because it provides incorrect information. Breast milk is already present in the mother's breasts during pregnancy, and the newborn's disinterest in eating is likely due to other factors.
Choice B rationale:
This is the best response because it acknowledges the mother's concern and offers a practical solution to help the newborn latch onto the breast properly. Correct latching is crucial for successful breastfeeding, and once the baby latches on correctly, they are more likely to breastfeed effectively.
Choice C rationale:
While it is true that newborns often experience deep sleep phases, attributing the disinterest in eating solely to deep sleep is not accurate. Offering support and guidance for breastfeeding would be more beneficial.
Choice D rationale:
This response oversimplifies the situation and may not address the actual reason for the newborn's disinterest in feeding. It is essential to help the mother with proper techniques rather than just waking up the baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Iron will facilitate bone growth. This statement is not accurate in the context of feeding a newborn with iron-fortified formula. While iron is essential for overall growth and development, its primary role is not specifically related to bone growth. Instead, it plays a crucial role in the production of hemoglobin, which helps carry oxygen in the blood.
Choice B rationale:
Newborns do not metabolize iron adequately. This statement is the correct choice. Newborns have limited iron stores that are obtained from their mothers during pregnancy. As they grow, their iron requirements increase, but their ability to metabolize iron is not fully developed at
birth. Hence, iron-fortified formula is recommended to provide the necessary iron for the newborn's healthy development.
Choice C rationale:
The newborn's iron source will start to deplete. This statement is not accurate in the context of iron-fortified formula feeding. The newborn's initial iron source is the iron stores passed on by the mother during pregnancy. However, the iron-fortified formula is designed to supplement and fulfill the baby's iron needs, preventing depletion of iron stores.
Choice D rationale:
Iron will facilitate eyesight development. This statement is not entirely accurate. While iron is important for many bodily functions, including eye health, it is not specifically responsible for eyesight development in newborns. Visual development in newborns is influenced by various factors, but iron intake through formula feeding directly impacting eyesight is not a primary concern.
Correct Answer is A
Explanation
"My baby will be placed under special lights if the test is elevated.”.
Choice A rationale:
This statement indicates a need for further teaching. Phenylketonuria (PKU) is a metabolic disorder that leads to the accumulation of phenylalanine in the body. If the PKU test is elevated, it means that the baby has high levels of phenylalanine, and immediate dietary intervention is required. The parent's statement about special lights suggests a confusion with jaundice treatment, which is not related to PKU.
Choice B rationale:
This statement is accurate. Before the PKU test is done, the baby needs to consume formula or breast milk to ensure accurate test results.
Choice C rationale:
This statement is also accurate. PKU is a genetic disorder that can be managed with a special diet low in phenylalanine. By adhering to the prescribed diet, the harmful effects of PKU can be minimized.
Choice D rationale:
This statement is accurate. It is common for the PKU test to be repeated at the 2-week check- up to confirm the initial results and ensure early detection and management of PKU if present.
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