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A newborn is reported to have breastfed very well during the first successful feeding after birth.
The baby is now 4 hours old and has not had a second feeding.
The nurse would:

Advise the mother to stop nursing and offer formula.

Teach the mother to pump her breast.

Advise the mother to discuss this with the newborn's pediatrician.

Teach about newborn sleep and hunger patterns.

Answer and Explanation

The Correct Answer is D

Choice A rationale

It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.

Choice B rationale

Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.

Choice C rationale

Consulting the pediatrician is not immediately necessary for this situation.

Choice D rationale

Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .

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Correct Answer is B

Explanation

Choice A rationale

Applying hot compresses to the breasts prior to feeding is not recommended for painful nipples due to breastfeeding. It may exacerbate pain and discomfort.

Choice B rationale

Teaching latching and releasing of suction techniques helps ensure that the baby latches correctly and releases properly from the breast, which can prevent and alleviate nipple pain and trauma.

Choice C rationale

Rubbing colostrum on the nipples after a feeding session is beneficial as colostrum has healing properties, but it does not address the immediate technique-related cause of painful nipples.

Choice D rationale

Air-drying nipples for 10 minutes at the end of the feeding session can be helpful for healing, but proper latching techniques are more effective in preventing nipple pain.

A. "I will try drinking an herbal tea to reduce the engorgement.”. B. "I will apply warm compresses 20 minutes before feeding.”. C. "I will let my baby drain one breast at each feeding.”. D. "I will feed my baby every 3-4 hours.”.

Correct Answer is B

Explanation

Choice A rationale

Herbal tea is not scientifically proven to reduce breast engorgement and may not be effective.

Choice B rationale

Warm compresses applied before feeding help to soften the breasts, making it easier for the baby to latch and reducing engorgement.

Choice C rationale

Letting the baby drain one breast completely at each feeding can help prevent engorgement but is not specifically for managing existing engorgement.

Choice D rationale

Feeding every 3-4 hours may not be frequent enough to prevent engorgement, especially in the early days of breastfeeding.

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A newborn is reported to have breastfed very well during the first successful feeding after birth.The baby is now 4 hours old and has not had a second feeding.The nurse would:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client with painful nipples due to breastfeeding.What intervention is appropriate?

Correct Answer is B

Explanation

A home health nurse is teaching a client who is breastfeeding about managing engorgement.Which statement indicates understanding of the teaching?

Correct Answer is B

Explanation

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A newborn is reported to have breastfed very well during the first successful feeding after birth.
The baby is now 4 hours old and has not had a second feeding.
The nurse would: