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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Hemoglobin level of 11 g/dL.This is within the normal range for a newborn, which is 13.4-19.9 g/dL for the first month.
Hemoglobin is the oxygen-carrying protein in red blood cells.
Choice B is wrong because serum calcium level of 8 mg/dL is below the normal range for a newborn, which is 8.5-10.6 mg/dL for the first month.
Calcium is important for bone health and muscle function.
Choice C is wrong because serum bilirubin level of 15 mg/dL is above the normal range for a newborn, which is less than 12 mg/dL for the first week.
Bilirubin is a waste product from the breakdown of red blood cells.
High levels can cause jaundice, a yellowing of the skin and eyes.
Choice D is wrong because serum sodium level of 130 mEq/L is below the normal range for a newborn, which is 135-145 mEq/L.
Sodium is an electrolyte that helps regulate fluid balance and nerve impulses.
Correct Answer is C
Explanation
90 mL.According to the CDC, babies who are only getting infant formula and no breast milk need about2.5 ounces (75 mL) of formula per pound of body weight each day.
A newborn who weighs 3 kg (6 lb 10 oz) would need about15 ounces (450 mL) of formula per day, divided into 8 to 12 feedings.
This means that at each feeding, the newborn would consume about90 mLof formula.
Choice A is wrong because30 mLis too little for a newborn who weighs 3 kg.
This would only provide about10 ounces (300 mL) of formula per day, which is not enough for adequate growth and development.
Choice B is wrong because60 mLis also too little for a newborn who weighs 3 kg.
This would only provide about20 ounces (600 mL) of formula per day, which is still below the recommended amount.
Choice D is wrong because120 mLis too much for a newborn who weighs 3 kg.This would provide about40 ounces (1200 mL) of formula per day, which is more than the maximum amount of32 ouncesthat most babies need before they start solids.
Overfeeding can cause problems such as spitting up, gas, and obesity.
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