A nurse is assessing a newborn who is breastfeeding for the first time.
The nurse observes that the newborn’s nose, cheeks, and chin are touching the mother’s breast during feeding.
What should the nurse do next?
Reposition the newborn to avoid suffocation.
Encourage the mother to continue feeding as usual.
Instruct the mother to burp the newborn frequently.
Suggest the mother to switch to another position.
The Correct Answer is B
Encourage the mother to continue feeding as usual. This is because the newborn’s nose, cheeks, and chin touching the mother’s breast during feeding indicates a good latch and positioning. A good latch and positioning help the baby to get enough milk and prevent nipple soreness for the mother.
Choice A is wrong because repositioning the newborn to avoid suffocation is not necessary. The newborn’s nose should not be squashed against the mother’s breast, but it should be clear and able to breathe.
Choice C is wrong because instructing the mother to burp the newborn frequently is not related to the newborn’s latch and positioning. Burping the newborn may help to release air that they swallow during feeding, but it does not affect how well they feed.
Choice D is wrong because suggesting the mother to switch to another position is not helpful. The mother may use different positions to breastfeed, but the most important thing is that the baby is well attached and comfortable. If the mother and baby are happy with their current position, there is no need to change it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
The correct answer is choice A, B and E.These foods are good sources of protein, calcium, iron, folate, vitamin B12, vitamin D, iodine, selenium, zinc, omega-3 fatty acids, and antioxidants that are essential for milk production and quality.
Choice C is wrong because coffee, tea, soda, energy drinks, chocolate, and alcohol are not nutritious foods and can have negative effects on the mother and the baby.They can cause dehydration, irritability, insomnia, poor weight gain, and fetal alcohol syndrome.
Choice D is wrong because whole grains, fruits, vegetables, vegetable oils, and herbs are not sufficient to provide all the nutrients needed by the mother and the baby.They are good sources of carbohydrates, fiber, vitamin C, vitamin E, and phytochemicals, but they lack protein, calcium, iron, folate, vitamin B12, vitamin D, iodine, selenium, and zinc.
The normal ranges for these nutrients are:
• Protein: 71 g/day for lactating women
• Calcium: 1000 mg/day for lactating women
• Iron: 9 mg/day for lactating women
• Folate: 500 mcg/day for lactating women
• Vitamin B12: 2.8 mcg/day for lactating women
• Vitamin D: 15 mcg/day for lactating women
• Iodine: 290 mcg/day for lactating women
• Selenium: 70 mcg/day for lactating women
• Zinc: 12 mg/day for lactating women
• Omega-3 fatty acids: 1.3 g/day for lactating women
• Antioxidants: no specific recommendation but fruits and vegetables are good sources
Correct Answer is A
Explanation
Praise the client for choosing a suitable position for breastfeeding.The football hold is a common and comfortable breastfeeding position that allows the mother to support the baby’s head and help with latching.It is especially good for mothers who had a cesarean section, have large breasts, or are breastfeeding twins.
Choice B is wrong because there is no need to change to a cradle hold position if the mother and baby are comfortable with the football hold.
Different positions may work better for different mothers and babies.
Choice C is wrong because the mother does not need to support her breast with her hand during feeding.
This may interfere with the baby’s latch and cause nipple soreness.
Choice D is wrong because asking the client if she is experiencing pain or discomfort in her incision may imply that she is doing something wrong by holding her baby in that position.
It may also make the mother feel anxious or guilty about her pain.
The nurse should assess the incision site regularly and provide pain relief as needed, but not question the mother’s choice of breastfeeding position.
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