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","C","D","E"]
Explanation
The correct answer is choice A, C, D, and E. Here is why:
• Choice A is correct because colostrum is thick, yellowish, and high in protein, vitamins, minerals, immune cells, and immunoglobulins.Immunoglobulins are antibodies that provide passive immunity to the newborn.
• Choice B is wrong because it describes the characteristics of mature milk, not colostrum.Mature milk is thin, whiter, and higher in fat, carbohydrates, lactose, water, vitamins, immunoglobulins, and growth factors.
• Choice C is correct because colostrum protects the infant’s gastrointestinal tract from infections and helps establish normal flora.Normal flora are beneficial bacteria that aid in digestion and immunity.
• Choice D is correct because colostrum has a laxative effect that helps clear meconium and prevent jaundice.Meconium is the first stool of the newborn, which contains waste products from the fetal life.Jaundice is a yellowing of the skin and eyes caused by excess bilirubin, a breakdown product of red blood cells.
• Choice E is correct because colostrum meets all the nutritional needs of the newborn during the first few days of life.Colostrum is rich in calories and nutrients and provides adequate hydration to the newborn.
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