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A nurse is assisting a postpartum client who is breastfeeding her newborn for the first time 2 hr after birth.

Which of the following actions should the nurse take? (Select all that apply.)

The nurse should assess for proper latch-on technique and encourage skin-to-skin contact between mother and infant. These actions promote successful breastfeeding and bonding.

Encourage skin-to-skin contact between mother and infant

Limit feeding time to 10 min per breast

Instruct client to offer both breasts at each feeding

Advise client to feed infant every 2 to 3 hr.

Answer and Explanation

Correct Answer : A,B

The nurse should assess for proper latch-on technique and encourage skin-to-skin contact between mother and infant.

These actions promote successful breastfeeding and bonding.

Choice C is wrong because limiting feeding time to 10 min per breast can interfere with the infant’s intake of hindmilk, which is rich in fat and calories. The infant should be allowed to nurse until satisfied, which may take longer than 10 min per breast.

Choice D is wrong because instructing the client to offer both breasts at each feeding can lead to nipple soreness and engorgement. The client should offer one breast until it is emptied, then switch to the other breast if the infant is still hungry.

Choice E is wrong because advising the client to feed the infant every 2 to 3 hr can disrupt the infant’s natural feeding cues and rhythms. The client should feed the infant on demand, which may be more or less frequent than every 2 to 3 hr.

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Correct Answer is B

Explanation

I will drink at least eight glasses of water every day.This statement indicates that the client understands the importance of hydration for breast milk production and the prevention of constipation.

Some possible explanations for the other choices are:

• Choice A is wrong because iron supplements are not necessary for breastfeeding mothers unless they have anemia.Iron supplements can also cause constipation and stomach upset in some women.

• Choice C is wrong because dairy products are not harmful for breastfeeding mothers or their infants, unless there is a history of allergy or intolerance.Dairy products can provide calcium, protein and vitamin D for the mother and the infant.

• Choice D is wrong because infants should not be given any solid foods before 6 months of age, according to the American Academy of Pediatrics.Introducing solids too early can interfere with breastfeeding, increase the risk of allergies and infections, and cause choking or aspiration.

A. “I will give my baby pureed foods three times a day and one snack.” B. “I will give my baby soft finger foods that he can pick up and eat by himself.” C. “I will give my baby finely chopped foods that are easy to swallow.” D. “I will give my baby family foods that are similar to what we eat.”

Correct Answer is B

Explanation

“I will give my baby soft finger foods that he can pick up and eat by himself.” This statement indicates an understanding of the teaching because it shows that the mother knows how to provide appropriate complementary foods for her infant who is eight months old.Complementary feeding, also known as weaning, mixed feeding or introduction of solid foods, should begin for infants by six months of age (26 weeks) but not before 17 weeks.Breast milk or infant formula should continue during the complementary feeding period with amounts gradually reduced as the variety of foods increases.WHO and UNICEF recommend that infants start receiving complementary foods at 6 months of age in addition to breast milk.Initially, they should receive complementary foods 2–3 times a day between 6–8 months and increase to 3–4 times daily between 9–11 months and 12–24 months of age.Complementary foods should be nutritionally adequate, safe, and properly fed.

Choice A is wrong because pureed foods are not suitable for an eight-month-old infant who can handle more textured foods.

Pureed foods are recommended for infants who are just starting complementary feeding at around six

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A nurse is assisting a postpartum client who is breastfeeding her newborn for the first time 2 hr after birth. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing discharge instructions with a postpartum client who plans to breastfeed her newborn exclusively for at least 6 months. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is educating a mother about complementary feeding for her infant who is eight months old. Which of the following statements by the mother indicates an understanding of the teaching?

Correct Answer is B

Explanation

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A nurse is reinforcing teaching about growth and development evaluation to a group of parents of preschoolers. Which of the following information should the nurse include in the teaching?

A nurse is assisting a postpartum client who is breastfeeding her newborn for the first time 2 hr after birth.

Which of the following actions should the nurse take? (Select all that apply.)