A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux. Which of the following instructions should the nurse include?

Choice A rationale:
Cucumbers Cucumbers are not relevant to the client's medication regimen. There is no specific interaction between cucumbers and digoxin or furosemide that would require their consumption or avoidance.
Choice B rationale:
Blueberries Similarly, blueberries do not have any specific interaction with digoxin or furosemide. They are not a necessary or contraindicated food item for this client.
Choice C rationale:
Bananas The nurse should instruct the client to consume bananas. Bananas are a good dietary source of potassium. Furosemide is a loop diuretic that can cause potassium depletion, so it's important for the client to maintain adequate potassium levels. Digoxin can also affect potassium levels, potentially leading to an increased risk of digoxin toxicity if potassium is too low. Including potassium-rich foods like bananas can help mitigate these risks and maintain proper electrolyte balance.

Choice D rationale:
Green beans While green beans are a nutritious vegetable, they do not have a direct relevance to the client's medication regimen. They are not specifically indicated or contraindicated in the context of digoxin and furosemide use.

Choice A rationale:
Diluting juice with 50 percent water to supplement between feedings is not recommended for newborns. Newborns should primarily be receiving breast milk or formula to ensure proper nutrition. Offering diluted juice can lead to inadequate intake of essential nutrients and unnecessary exposure to sugar. It's important for the newborn's diet to be appropriate for their stage of development.
Choice B rationale:
Beginning and ending with the same breast during feeding sessions promotes effective breastfeeding and adequate milk supply. This approach ensures that the baby receives both the foremilk (low-fat milk that comes at the beginning of a feeding) and hindmilk (higher-fat milk that comes later in a feeding), which is important for proper nutrition and growth. This choice demonstrates an understanding of the principles of breastfeeding.
Choice C rationale:
Feeding the baby on demand at least eight times each day is a suitable recommendation. Newborns have small stomachs and need frequent feedings to meet their nutritional needs and support healthy growth. Feeding on demand helps establish a good milk supply and ensures that the baby gets enough milk to thrive.
Choice D rationale:
Using pumped breast milk within 72 hours of refrigeration is a correct statement. Breast milk can be refrigerated for a limited time while maintaining its nutritional quality. Using pumped milk within 72 hours helps minimize the risk of bacterial growth and ensures that the baby receives milk that's still rich in nutrients and antibodies.