A nurse is reinforcing teaching about reliable sources of vitamin B1 with a client who is pregnant. Which of the following foods should the nurse recommend in the teaching?

Broccoli

Stewed tomatoes

Figs

Skim milk

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement is correct. Broccoli is a good source of vitamin B1, also known as thiamin. Vitamin B1 is essential for energy production, nerve function, and fetal development. One cup of cooked broccoli provides 0.2 mg of vitamin B1, which is 13% of the daily value for pregnant women.

Choice B reason: This statement is incorrect. Stewed tomatoes are not a good source of vitamin B1. Vitamin B1 is sensitive to heat and water, and can be lost during cooking and processing. One cup of stewed tomatoes provides only 0.04 mg of vitamin B1, which is 3% of the daily value for pregnant women.

Choice C reason: This statement is incorrect. Figs are not a good source of vitamin B1. Vitamin B1 is mainly found in animal products, whole grains, legumes, nuts, and seeds. Fruits are generally low in vitamin B1. One cup of dried figs provides only 0.08 mg of vitamin B1, which is 5% of the daily value for pregnant women.

Choice D reason: This statement is incorrect. Skim milk is not a good source of vitamin B1. Vitamin B1 is mostly present in the fat-soluble fraction of milk, and is removed when the fat is skimmed off. One cup of skim milk provides only 0.1 mg of vitamin B1, which is 7% of the daily value for pregnant women.

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Correct Answer is D

Explanation

Choice A reason: This statement is incorrect. A baby who is breastfed effectively should have at least six wet diapers per day after the fourth day of life. This is a sign that the baby is getting enough fluids and hydration from breast milk.

Choice B reason: This statement is incorrect. A baby who is breastfed effectively should feed on demand, usually 8 to 12 times per day. Feeding constantly may indicate that the baby is not getting enough milk or is using the breast for comfort.

Choice C reason: This statement is incorrect. A baby who is breastfed effectively should gain about 0.5 to 1 oz (14 to 28 grams) per day after the fourth day of life. This is a sign that the baby is getting enough calories and nutrients from breast milk.

Choice D reason: This statement is correct. A baby who is breastfed effectively can lose up to 10% of his birth weight in the first few days of life due to fluid loss and meconium excretion. However, the baby should regain his birth weight by 7 to 14 days of age, as breast milk production increases and the baby feeds more efficiently.

A. “You should feed your newborn formula every 2 hours.” B. “You should breastfeed your newborn five to seven times each day.” C. “When you give formula to your newborn, expect at least one stool every 3 days.” D. “If you breastfeed your newborn, expect two to three stools per day.”

Correct Answer is D

Explanation

Choice A reason: This statement is incorrect. Feeding a newborn formula every 2 hours may lead to overfeeding and spitting up. Formula-fed infants typically need to be fed every 3 to 4 hours.

Choice B reason: This statement is incorrect. Breastfeeding a newborn five to seven times each day is not enough to meet the nutritional and hydration needs of the infant. Breastfed infants should be fed on demand, usually 8 to 12 times each day.

Choice C reason: This statement is incorrect. Expecting at least one stool every 3 days from a formula-fed newborn is not normal. Formula-fed infants should have at least one stool every day, and the stool should be soft and yellow-brown in color. Infrequent or hard stools may indicate constipation.

Choice D reason: This statement is correct. Breastfeeding a newborn can result in two to three stools per day, or even more. The stool should be loose and yellow in color, and may contain small white curds. This is normal and indicates that the infant is getting enough breast milk.

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A nurse is reinforcing teaching about reliable sources of vitamin B1 with a client who is pregnant. Which of the following foods should the nurse recommend in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a new mother about signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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