A nurse is providing discharge teaching to the mother of a newborn about breastfeeding. Which of the following statements by the client does not indicatean understanding of the teaching?

"I will dilute juice with 50 percent water to supplement between feedings."

"I will begin and end with the same breast when I feed my baby."

"I should feed my baby on demand at least eight times each day."

"I should use pumped breast milk within 72 hours of refrigeration."

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Diluting juice with 50 percent water to supplement between feedings is not recommended for newborns. Newborns should primarily be receiving breast milk or formula to ensure proper nutrition. Offering diluted juice can lead to inadequate intake of essential nutrients and unnecessary exposure to sugar. It's important for the newborn's diet to be appropriate for their stage of development.
Choice B rationale:
Beginning and ending with the same breast during feeding sessions promotes effective breastfeeding and adequate milk supply. This approach ensures that the baby receives both the foremilk (low-fat milk that comes at the beginning of a feeding) and hindmilk (higher-fat milk that comes later in a feeding), which is important for proper nutrition and growth. This choice demonstrates an understanding of the principles of breastfeeding.
Choice C rationale:
Feeding the baby on demand at least eight times each day is a suitable recommendation. Newborns have small stomachs and need frequent feedings to meet their nutritional needs and support healthy growth. Feeding on demand helps establish a good milk supply and ensures that the baby gets enough milk to thrive.
Choice D rationale:
Using pumped breast milk within 72 hours of refrigeration is a correct statement. Breast milk can be refrigerated for a limited time while maintaining its nutritional quality. Using pumped milk within 72 hours helps minimize the risk of bacterial growth and ensures that the baby receives milk that's still rich in nutrients and antibodies.

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Correct Answer is B

Explanation

Choice A rationale:
Shrimp. Shrimp is a type of seafood and is not considered a suitable choice for a lacto-vegetarian diet. Lacto-vegetarians exclude meat, poultry, and fish from their diet but do consume dairy products. Since shrimp comes from the sea and is an animal product, it's not compatible with a lacto-vegetarian dietary preference.
Choice B rationale:
Cheese. Cheese is derived from dairy milk and is a suitable option for individuals following a lacto-vegetarian diet. Lacto-vegetarians include dairy products in their diet while avoiding meat and seafood. Cheese provides a good source of protein and calcium, making it a valuable addition to their meals.
Choice C rationale:
Eggs. Eggs are not a part of the lacto-vegetarian diet. Lacto-vegetarians exclude eggs from their diet and only consume dairy products along with plant-based foods. While eggs are an excellent source of protein, lacto-vegetarians make this dietary choice due to ethical or religious reasons that lead them to avoid all animal products except dairy.
Choice D rationale:
Hamburger. Hamburger is a meat product and is not suitable for a lacto-vegetarian diet. Lacto-vegetarians avoid all forms of meat, including beef. Instead, their diet focuses on dairy products, plant-based foods, and sometimes eggs.

A. HbA1c 5%. B. LDL 64 mg/dL. C. Total cholesterol 173 mg/dL. D. Fasting glucose 140 mg/dL.

Correct Answer is D

Explanation

Choice A rationale:

An HbA1c level of 5% is within the target range for good diabetes control. HbA1c represents the average blood glucose level over the past two to three months, and an HbA1c of 5% indicates well-managed blood glucose levels.

Choice B rationale:

An LDL level of 64 mg/dL is within the recommended range for individuals at risk for heart disease. Lower LDL levels are associated with reduced risk, but 64 mg/dL is not a concerning value and is not typically associated with an increased risk of coronary heart disease.

Choice C rationale:

A total cholesterol level of 173 mg/dL is within the desirable range for adults. While it's important to consider both LDL and HDL cholesterol levels, the total cholesterol value alone is not sufficient to indicate a significant risk of coronary heart disease.

Choice D rationale:

A fasting glucose level of 140 mg/dL indicates hyperglycemia (elevated blood glucose) and is a significant risk factor for coronary heart disease. Hyperglycemia is associated with increased oxidative stress, inflammation, and vascular damage, all of which contribute to the development of cardiovascular complications in individuals with diabetes. It's crucial to manage blood glucose levels to reduce the risk of heart disease and other diabetes-related complications.

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A nurse is providing discharge teaching to the mother of a newborn about breastfeeding. Which of the following statements by the client does not indicatean understanding of the teaching?

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