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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Free Nursing Study Resources

Correct Answer is ["236"]

Explanation

Identify the calorie content per gram of each macronutrient.

Protein: 4 calories/gram

Fat: 9 calories/gram

Carbohydrates: 4 calories/gram

Calculate the calories from protein.

Calories from protein = 2 g × 4 calories/gram

= 8 calories.

Calculate the calories from fat.

Calories from fat = 12 g × 9 calories/gram

= 108 calories.

Calculate the calories from carbohydrates.

Calories from carbohydrates = 30 g × 4 calories/gram

= 120 calories.

Calculate the total calories in the cookie.

Total calories = Calories from protein + Calories from fat + Calories from carbohydrates

= 8 calories + 108 calories + 120 calories

= 236 calories.

Rounded to the nearest whole number: 236.

A. Apples B. Milk C. Carrots D. Coffee

Correct Answer is B

Explanation

A. Apples: Apples are naturally low in phenylalanine, the amino acid that clients with phenylketonuria (PKU) cannot properly metabolize. Fruits like apples are generally safe and are encouraged in a low-phenylalanine diet because they help meet nutritional needs without contributing excess protein or phenylalanine.
B. Milk: Milk is high in protein and contains significant amounts of phenylalanine, making it unsuitable for individuals with PKU. Consuming milk can lead to elevated phenylalanine levels, which are harmful to the developing fetus and can cause cognitive impairments and developmental delays. Pregnant women with PKU must strictly avoid high-protein foods such as milk.
C. Carrots: Carrots are low in protein and phenylalanine, making them a safe and beneficial food choice for clients with PKU. They provide important nutrients like beta-carotene and fiber without compromising phenylalanine restrictions. Including vegetables like carrots supports balanced nutrition during pregnancy.
D. Coffee: Coffee itself contains minimal or no phenylalanine unless additives such as milk or cream are used. While caffeine intake should be moderated during pregnancy, plain coffee does not significantly impact phenylalanine levels and is not a food that must be avoided specifically because of PKU.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is providing education to adolescents about healthy food choices. A cookie has 2 g of protein, 12 g of fat, and 30 g of carbohydrates. How many calories does the cookie contain? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["236"]

Explanation

A nurse is providing dietary teaching for a client who is at 28 weeks of gestation and has phenylketonuria (PKU). Which of the following foods should the client avoid?

Correct Answer is B

Explanation

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