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A new mother asks the practical nurse (PN), "How do I know that my baby is getting enough breast milk?" Which explanation should the PN provide?

A.

If your baby is voiding pale straw-colored urine 6 to 10 times a day, your milk is sufficient.

B.

Weigh the baby before and after each feeding to see if she has gained any weight as a result of the feeding.

C.

Offer the baby an extra bottle of milk after her feeding, and see if she is still hungry enough to take it.

D.

If you're concerned, bottle feed your baby so that you can see how much milk your daughter is taking.

Answer and Explanation

The Correct Answer is A

A. If your baby is voiding pale straw-colored urine 6 to 10 times a day, your milk is sufficient: Frequent wet diapers with light-colored urine is a reliable sign of adequate intake.
B. Weigh the baby before and after each feeding: Impractical for home use; reserved for special monitoring.
C. Offer the baby an extra bottle of milk after her feeding: Not recommended; interferes with breastfeeding and demand-supply regulation.
D. If you're concerned, bottle feed your baby so that you can see how much milk your daughter is taking: Not the first-line response; undermines breastfeeding.


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Related Questions

Correct Answer is D

Explanation

A. Inform the manager that the facility will have to assume responsibility for incidents related to staffing: This is confrontational and does not address immediate care needs.
B. Refuse to take charge and go home rather than risk working in an unsafe situation: Abandoning patients is unethical and could have legal consequences.
C. Assign some tasks usually performed by the additional PN to the UAP who is normally on the wing: UAPs cannot legally take on PN duties; this is unsafe.
D. Prioritize assessment of safety issues in addition to administration of daily medication: When short-staffed, prioritize safety and essential tasks to ensure client well-being.

Correct Answer is A

Explanation

A. Use normal saline to rinse the client's mouth: Normal saline is safe, non-irritating, and helps maintain oral mucosa integrity.
B. Avoid contact with the roof of the mouth: Unnecessary; oral care includes cleaning all oral surfaces gently.
C. Lower the head of the bed to 30 degrees: This increases aspiration risk; the head should be elevated or the client positioned side-lying.
D. Don sterile gloves prior to performing oral care: Clean gloves are sufficient; sterile gloves are not required.

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