A nurse is providing discharge teaching to the mother of a newborn about breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

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

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

"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."

Answer and Explanation

The Correct Answer is D

"I should feed my baby on demand at least eight times each day": This statement is correct. Breastfed newborns should be fed on demand, following their cues of hunger. Newborns typically need to breastfeed at least eight times per day to ensure they receive enough nutrition and to establish and maintain a healthy milk supply for the mother.

"I will dilute juice with 50 percent water to supplement between feedings": This statement is incorrect. Breast milk or formula should be the sole source of nutrition for a newborn. Diluting juice with water is not recommended for newborns, as it does not provide the necessary nutrients and may fill the baby's stomach without providing adequate nutrition.

"I should use pumped breast milk within 72 hours of refrigeration": This statement is incorrect. Pumped breast milk can typically be stored in the refrigerator for up to 4-5 days, not just 72 hours. It is important for the mother to follow proper storage guidelines to ensure the safety and freshness of the breast milk.

"I will begin and end with the same breast when I feed my baby": This statement is incorrect. The breastfeeding technique known as "switch nursing" is often recommended, especially for newborns. Switch nursing involves offering both breasts during a feeding session to ensure the baby receives hindmilk, which is richer in fat and provides essential nutrients for growth.

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Correct Answer is B

Explanation

2 oz processed cheese: Processed cheese, including cheese slices or spreads, tends to have a higher sodium content compared to other dairy products. The processing methods used in the production of processed cheese often involve the addition of sodium-containing ingredients to enhance flavor and improve texture.

1/2 cup yogurt: Yogurt generally has a lower sodium content compared to processed cheese. However, the sodium content can vary depending on the brand and type of yogurt. It is advisable to choose plain or low-sodium yogurt to minimize sodium intake.

1 cup milk: Plain milk, such as cow's milk, typically has a lower sodium content compared to processed cheese. However, it is important to note that flavored or sweetened milk products may contain added sugars and other ingredients that can increase sodium content. Choosing unsweetened or low-sodium varieties is recommended.

4 oz vanilla pudding: While some commercial pudding mixes may contain sodium, the sodium content in vanilla pudding is generally lower compared to processed cheese. However, it is important to read food labels and choose lower sodium options or consider homemade versions to better control sodium intake.

A. Change the IV tubing for TPN solution every 72 hr. B. Remove TPN from the refrigerator 5 min before infusing it. C. Discard remaining TPN solution that is still infusing after 24 hr. D. Change the dressing around the IV site weekly.

Correct Answer is C

Explanation

The nurse should plan to change the IV tubing for the TPN solution every 72 hours. This is necessary to maintain the sterility of the system and minimize the risk of infection. TPN solutions are prone to bacterial growth, and changing the tubing regularly helps prevent contamination.

Removing TPN from the refrigerator 5 minutes before infusing it is not necessary. TPN solutions are typically stored in the refrigerator to maintain their stability and prevent spoilage. It should be brought to room temperature over a longer period of time, usually 30-60 minutes, before administration.

Discarding the remaining TPN solution that is still infusing after 24 hours is unnecessary. TPN solutions can typically be infused for up to 24 hours without compromising their safety and efficacy. However, it is important to monitor the solution closely for any signs of contamination or degradation, and if any concerns arise, the nurse should consult with the healthcare provider.

Changing the dressing around the IV site weekly is not specific to TPN administration. Dressing changes for peripheral IV sites are typically performed according to facility protocols and the condition of the site, but they are not necessarily done on a weekly basis. The frequency of dressing changes depends on factors such as the type of dressing used, the patient's condition, and any signs of infection or dislodgement.

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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 indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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