A nurse is providing teaching about breastfeeding to a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?
"I need to supplement feedings with water once my baby is 4 months old."
"My baby will receive the most milk within the first 10 minutes of the feeding."
"The purpose of alternating breasts during feedings is to promote comfort."
"During the first few weeks, I should nurse my baby every 4 hours."
The Correct Answer is B
"My baby will receive the most milk within the first 10 minutes of the feeding": This statement is correct. During the first few minutes of breastfeeding, the baby receives the foremilk, which is more watery and quenches their thirst. The hindmilk, which is higher in fat and provides more calories, is obtained as the feeding progresses.
"I need to supplement feedings with water once my baby is 4 months old": Breast milk provides all the necessary fluids for the baby, and additional water supplementation is generally not needed for exclusively breastfed infants.
"The purpose of alternating breasts during feedings is to promote comfort": The purpose of alternating breasts during feedings is to ensure that the baby receives both foremilk and hindmilk from each breast and to stimulate milk production in both breasts. It is not primarily for promoting comfort.
"During the first few weeks, I should nurse my baby every 4 hours": Breastfed newborns typically feed more frequently than every 4 hours, especially during the early weeks.
On-demand feeding is recommended, which means feeding the baby whenever they show hunger cues, which can be more frequent than every 4 hours.

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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Steak cut into small pieces: While it is important to introduce a variety of textures and flavors to toddlers, steak may be challenging for them to chew and swallow safely. It is recommended to offer softer and more easily chewable protein sources, such as finely minced or shredded cooked meat, ground meat, or soft fish.
Cooked spaghetti with sauce: This is a good choice for a toddler. Cooked spaghetti with sauce provides a balanced meal that includes carbohydrates from the pasta, nutrients from the sauce (e.g., vegetables, protein), and a variety of flavors and textures. It is important to ensure that the spaghetti is cooked to an appropriate tenderness for the toddler's chewing and swallowing abilities.
Hot dogs cut in fourths: Hot dogs pose a potential choking hazard for toddlers due to their cylindrical shape and texture. Cutting the hot dog into smaller pieces is a safety measure, but it is still recommended to be cautious with hot dog consumption and offer alternative protein sources that are safer and easier to chew.
Caramel popcorn: Caramel popcorn is not an appropriate food choice for toddlers. Popcorn can be a choking hazard due to its small, hard, and irregular shape. Caramel popcorn can also be high in added sugars, which are not recommended in excess for young children. It is important to provide safe, age-appropriate snacks that are easy to chew and swallow, such as cut fruits, soft-cooked vegetables, or age-appropriate crackers.
Correct Answer is A
Explanation
GERD is a chronic condition in which stomach acid and contents flow back into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain. Obesity is a significant risk factor for developing GERD. The excess weight can put pressure on the stomach, causing the contents to reflux into the esophagus more easily. Additionally, obesity is associated with a higher prevalence of hiatal hernia, which can further contribute to the development of GERD

Crohn's disease, Peptic ulcer disease, and Celiac disease are not commonly associated with obesity:
Crohn's disease is a type of inflammatory bowel disease that can affect any part of the gastrointestinal tract. It is not specifically associated with obesity but rather has complex genetic and environmental factors as its causes.
Peptic ulcer disease refers to the presence of open sores in the lining of the stomach or small intestine. While obesity may be a risk factor for gastric ulcers, the association is not as strong as with GERD.
Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. It is not directly related to obesity but is associated with a specific immune response to gluten in genetically susceptible individuals.
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