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?

"The purpose of alternating breasts during feedings is to promote comfort."

"During the first few weeks, I should nurse my baby every 4 hours."

"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."

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Alternating breasts during feedings is not primarily done for comfort, but rather to ensure that the baby receives both foremilk and hindmilk from each breast. Foremilk is more watery and quenches thirst, while hindmilk is richer in fats and nutrients. This choice does not accurately reflect the purpose of alternating breasts.
Choice B rationale:
Newborns often need to nurse more frequently than every 4 hours, especially during the early weeks when their stomach capacity is small. Feeding every 2 to 3 hours is generally recommended to ensure they receive enough nourishment and to stimulate milk supply.
Choice C rationale:
Supplementing feedings with water is unnecessary and can even be harmful to a breastfeeding baby. Breast milk provides all the necessary hydration for the baby, and introducing water before the recommended age can lead to decreased milk intake and potential electrolyte imbalances.
Choice D rationale:
(Correct Choice) This statement indicates an understanding of breastfeeding dynamics. The baby receives the majority of the milk's volume within the first 10 minutes of breastfeeding. However, it's important to note that nursing beyond the initial 10 minutes allows the baby to access the richer hindmilk, which is important for their growth and satiety.

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Correct Answer is A

Explanation

The correct answer is choice A. “Fish and poultry are primary sources of heme iron.”

Choice A rationale:

Fish and poultry are indeed primary sources of heme iron, which is the type of iron found in animal products.Heme iron is more easily absorbed by the body compared to non-heme iron, which is found in plant-based foods.

Choice B rationale:

Cooking in a stainless steel skillet does not significantly increase the amount of iron in the food.While cooking in cast iron skillets can add some iron to the food, stainless steel does not have the same effect.

Choice C rationale:

Drinking iced tea with meals can actually decrease the amount of iron absorbed.Tea contains tannins, which can inhibit the absorption of non-heme iron from plant-based foods.

Choice D rationale:

Drinking orange juice with iron supplements can actually increase absorption, not decrease it.Vitamin C, found in orange juice, enhances the absorption of non-heme iron.

A. "Serum bilirubin should be monitored one to two times per month during pregnancy." B. "Diet sodas should not be consumed more than two or three times per week." C. "Breastfeeding will prevent your baby from developing PKU." D. "A low-protein diet should be followed for 3 months prior to conception."

Correct Answer is D

Explanation

The correct answer is choice d. “A low-protein diet should be followed for 3 months prior to conception.”

Choice A rationale:

Monitoring serum bilirubin is not relevant for managing phenylketonuria (PKU) during pregnancy. PKU management focuses on maintaining low phenylalanine levels to prevent harm to the developing fetus.

Choice B rationale:

Diet sodas contain aspartame, which is high in phenylalanine and should be completely avoided by individuals with PKU, not just limited to two or three times per week.

Choice C rationale:

Breastfeeding does not prevent a baby from developing PKU. PKU is a genetic disorder, and breastfeeding does not influence the genetic makeup of the baby.

Choice D rationale:

Following a low-protein diet for 3 months prior to conception is crucial for women with PKU. This helps to ensure that phenylalanine levels are low, reducing the risk of birth defects and intellectual disabilities in the baby.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following pieces of information should the nurse include in the discussion?

Correct Answer is D

Explanation

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A nurse is reviewing the laboratory values of four clients. Which of the following values indicates to the nurse that a client has iron-deficiency anemia?