A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding.
What information should be included in the teaching?
Eat a high-fat diet.
Stop taking prenatal vitamins.
An additional 450-500 kCal per day should be consumed.
8-16 oz of water per day is all that is needed.
The Correct Answer is C
Choice A rationale
A high-fat diet is not recommended for breastfeeding mothers. While fats are an essential part of a balanced diet, excessive intake of high-fat foods can lead to unhealthy weight gain and may not provide the necessary nutrients for both the mother and the baby. Breastfeeding mothers should focus on a balanced diet that includes healthy fats, proteins, and carbohydrates to support their nutritional needs and milk production.
Choice B rationale
Stopping prenatal vitamins is not advisable for breastfeeding mothers. Prenatal vitamins contain essential nutrients such as folic acid, iron, and calcium that support the health of both the mother and the baby. Continuing to take prenatal vitamins can help ensure that breastfeeding mothers receive adequate nutrients, especially if their diet may not provide all the necessary vitamins and minerals.
Choice C rationale
Breastfeeding mothers need an additional 450-500 kCal per day to meet their increased energy requirements. This extra caloric intake supports milk production and helps the mother maintain her energy levels. The additional calories should come from a balanced diet that includes a variety of nutrient-dense foods.
Choice D rationale
Consuming only 8-16 oz of water per day is insufficient for breastfeeding mothers. Adequate hydration is crucial for milk production and overall health. Breastfeeding mothers should aim to drink at least 8-10 cups (64-80 oz) of water per day to stay hydrated and support their body’s increased fluid needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The client is exhibiting expected assessment findings. Three days postpartum, it is normal for the fundus to be three fingerbreadths below the umbilicus, lochia rubra to be light, and the breasts to be full and warm to palpation without evidence of redness or pain. These findings indicate that the uterus is involuting properly, and the breasts are producing milk for breastfeeding.
Choice B rationale
The client is not exhibiting indications of mastitis. Mastitis is characterized by breast tenderness, redness, warmth, and pain, often accompanied by fever and flu-like symptoms. The absence of these symptoms suggests that the client does not have mastitis.
Choice C rationale
There is no indication that the client should be advised to remove her nursing bra. A well-fitting nursing bra can provide support and comfort during breastfeeding. The client should continue to wear a nursing bra as needed.
Choice D rationale
There is no indication that the client should be advised to stop breastfeeding. The assessment findings suggest that breastfeeding is going well, and the client should be encouraged to continue breastfeeding to provide optimal nutrition for the infant.
Correct Answer is B
Explanation
Choice A rationale
Teaching the parents how to swaddle is important for newborn care, but it is not the priority action immediately after delivery to promote parent-infant bonding. Skin-to-skin contact is more effective in establishing an initial bond.
Choice B rationale
Positioning the infant on the client’s chest for skin-to-skin care is the priority action to promote parent-infant bonding immediately after delivery. Skin-to-skin contact helps regulate the infant’s temperature, heart rate, and breathing, and promotes bonding through physical closeness and sensory interaction.
Choice C rationale
Offering to take the newborn to the nursery so the parents may nap is not the priority action for promoting bonding immediately after delivery. While rest is important, the initial moments after birth are crucial for establishing a bond through direct contact.
Choice D rationale
Assessing the infant under the radiant warmer is important for ensuring the infant’s health, but it is not the priority action for promoting parent-infant bonding immediately after delivery. Skin-to-skin contact should be prioritized unless there are medical concerns that require immediate attention. .
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