A nurse is providing teaching to a client who gave birth 8 hr ago and is exclusively breastfeeding. Which of the following information should the nurse include?
"Avoid eating seafood to minimize risk to the newborn.”
“Wait 1 hour to breastfeed after consuming alcohol."
"Consume additional calories each day to support milk production.”
"Caffeine slowly enters breast milk after maternal consumption."
The Correct Answer is C
A. Avoid eating seafood to minimize risk to the newborn: Seafood contains important nutrients like omega-3 fatty acids that support infant brain development; moderate consumption of low-mercury seafood is generally safe and encouraged during breastfeeding.
B. Wait 1 hour to breastfeed after consuming alcohol: Alcohol peaks in breast milk approximately 30 to 60 minutes after consumption; waiting only 1 hour may not be sufficient to prevent infant exposure depending on the amount consumed.
C. Consume additional calories each day to support milk production: Breastfeeding increases a mother’s energy needs by about 450 to 500 calories per day, so additional caloric intake is necessary to maintain adequate milk supply and support maternal health.
D. Caffeine slowly enters breast milk after maternal consumption: Caffeine passes into breast milk relatively quickly, usually within 30 to 60 minutes after ingestion, so it does not enter slowly but rather fairly rapidly after consumption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encourage frequent eye contact with the newborn during feedings: While eye contact supports bonding, it can overstimulate infants with neonatal abstinence syndrome. These newborns often struggle with processing sensory input, and sustained eye contact may lead to increased irritability or stress.
B. Provide frequent stimulation for the newborn: Excessive stimulation, such as noise or handling, can aggravate symptoms like tremors, crying, and poor feeding. These infants benefit more from a quiet, low-stimulation environment that helps them regulate their nervous system.
C. Wrap the newborn loosely in a blanket: Loose wrapping fails to provide the gentle pressure needed to soothe the infant. A snug swaddle helps reduce excessive movement and startle reflex, making the newborn feel secure and calm.
D. Decrease the lighting levels in the nursery: Lowering lights creates a more calming environment and reduces sensory overload. This helps lessen irritability, promotes sleep, and is a standard comfort measure for neonates with withdrawal symptoms.
Correct Answer is D
Explanation
A. Irritability: While clients with obsessive-compulsive personality disorder (OCPD) may become frustrated when things are not done their way, persistent irritability is more characteristic of mood or anxiety disorders rather than a core feature of OCPD.
B. Impulsivity: Impulsivity is typically associated with borderline or antisocial personality disorders. Clients with OCPD are generally rigid, controlled, and rule-bound rather than impulsive.
C. Takes advantage of others: This behavior is more aligned with antisocial personality disorder. Clients with OCPD are often rule-abiding and conscientious, though they may be excessively controlling or critical.
D. Shows perfectionism: Perfectionism is a hallmark of obsessive-compulsive personality disorder. Clients often set excessively high standards for themselves and others, are preoccupied with orderliness, and may have difficulty delegating tasks.
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