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.
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Related Questions
Correct Answer is A
Explanation
Meat is a good source of zinc for infants who are six months old and exclusively breastfed.Zinc is a mineral that is important for immune function, wound healing, and the senses of smell and taste.Children 7 to 24 months need 3 mg of zinc each day.
Choice B is wrong because yogurt is not a good source of zinc for infants.Yogurt is a dairy product that contains some zinc, but not as much as meat.
Choice C is wrong because broccoli is not a good source of zinc for infants.Broccoli is a vegetable that contains very little zinc.
Choice D is wrong because mango is not a good source of zinc for infants.Mango is a fruit that contains almost no zinc.
Correct Answer is D
Explanation
Growth and development evaluation should be done annually until adulthood, plotted on appropriate growth charts and compared with expected norms for age and sex, and used to identify any deviations from normal or expected patterns of growth and development.
Choice A is wrong because growth and development evaluation should not be done only annually, but also at specific ages recommended by the American Academy of Pediatrics (AAP), such as 9 months, 18 months, 24 months, and 30 months.
Choice B is wrong because growth and development evaluation should not only be plotted on appropriate growth charts and compared with expected norms for age and sex, but also include developmental milestones in playing, learning, speaking, behaving, and moving.
Choice C is wrong because growth and development evaluation should not only be used to identify any deviations from normal or expected patterns of growth and development, but also to monitor the child’s progress and provide early intervention if needed.
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