A nurse is conducting a prenatal course about breastfeeding to a group of clients who are pregnant. Which of the following information should the nurse include?

Avoid feeding the infant more than once every 3 hr.

Provide the newborn with 15 mL of sterile water each day.

Store expressed milk in the refrigerator for up to 7 days.

Feedings should begin within 1 hr after birth.

Answer and Explanation

The Correct Answer is D

A. Avoid feeding the infant more than once every 3 hr: Newborns should be fed on demand, which typically occurs every 1-3 hours, but it can vary. Some babies may want to nurse more frequently, especially in the early days, for comfort or to stimulate milk production. Restricting feedings to a set time interval can hinder the infant's ability to receive enough nourishment.
B. Provide the newborn with 15 mL of sterile water each day: Breast milk or formula provides all the hydration and nutrition the infant needs. Offering water can interfere with the infant's intake of breast milk, which is essential for proper growth and development.
C. Store expressed milk in the refrigerator for up to 7 days: While expressed breast milk can be stored in the refrigerator, the recommended storage time is typically 3-5 days, not 7 days. Storing milk for longer periods may increase the risk of bacterial growth, which could compromise the milk's safety and quality.
D. Feedings should begin within 1 hour after birth: Initiating breastfeeding within the first hour after birth is critical for both mother and baby. Early initiation of breastfeeding helps establish a good milk supply, promotes bonding, and provides the newborn with colostrum, which is rich in antibodies and nutrients essential for the baby’s immune system and overall health.

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Correct Answer is A

Explanation

A. "I do not need a pump to administer my feedings. Bolus feedings are delivered by gravity or syringe and do not require an infusion pump. They are given intermittently over a short period of time, usually in larger volumes than continuous feedings. This method is often used in clients with intact gastric function and allows more flexibility in daily routine.
B. "I should administer the formula at a cold temperature." Administering formula at a cold temperature can cause gastric discomfort, cramping, or diarrhea. Enteral formula should be administered at room temperature to promote better tolerance and reduce gastrointestinal irritation.
C. "I should advance the rate of my feedings slowly." Advancing the rate of feedings gradually applies more to continuous or cyclic feedings when transitioning a client to full nutritional intake. In bolus feeding, the rate is usually fixed per feeding and is not increased over time unless prescribed otherwise.
D. "I will administer my feedings at a constant rate over 24 hours."Administering feedings at a constant rate over 24 hours describes continuous enteral nutrition, not bolus feeding. Bolus feeding is typically done in shorter sessions several times a day and does not involve a steady infusion over a full day.

A. Initiate a low-protein diet. B. Provide a vitamin C supplement. C. Administer a potassium-sparing diuretic. D. Limit zinc intake.

Correct Answer is B

Explanation

A. Initiate a low-protein diet: A low-protein diet is inappropriate for burn clients, who require increased protein to support wound healing, tissue regeneration, and immune function. Protein needs are significantly elevated in clients with burns.
B. Provide a vitamin C supplement: Vitamin C supports collagen synthesis, promotes wound healing, and enhances immune function. Clients with partial-thickness burns benefit from supplementation to aid skin repair and recovery.
C. Administer a potassium-sparing diuretic: Diuretics are generally avoided in the early stages of burn care due to fluid shifts and risk of hypovolemia. Fluid resuscitation is prioritized to stabilize hemodynamics and maintain organ perfusion.
D. Limit zinc intake: Zinc plays a critical role in tissue healing and immune support. Limiting zinc would be counterproductive; burn clients often require additional zinc to meet increased metabolic demands.

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A nurse is conducting a prenatal course about breastfeeding to a group of clients who are pregnant. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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