A nurse is reinforcing teaching to a parent about breastfeeding.
Which of the following statements by the parent demonstrates understanding of the teaching?
"I understand I may feel pain in my nipple when feeding my baby.”.
"I understand that routine care should be delayed until the first feeding is completed.”.
"I will feed my baby once they start to cry.”.
"My newborn will need to eat every hour.”.
The Correct Answer is B
Choice A rationale
While nipple pain can occur, it is not normal and often indicates incorrect latch or positioning. Proper education about breastfeeding techniques can help prevent and manage nipple pain, ensuring a more comfortable experience for the mother.
Choice B rationale
Routine care should be delayed until the first feeding is completed to ensure bonding and proper initiation of breastfeeding. Early skin-to-skin contact and uninterrupted first feeding are crucial for newborn adjustment and breastfeeding success.
Choice C rationale
Feeding based on crying can lead to delayed response to hunger cues. It is recommended to feed the baby when early hunger signs are observed, such as rooting, lip smacking, or hands to mouth, rather than waiting until they cry.
Choice D rationale
Newborns typically feed every 2-3 hours, not every hour. Feeding schedules should be flexible and based on the baby's hunger cues rather than a strict timetable. Overfeeding every hour can lead to discomfort and digestive issues in the newborn.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A longitudinal fetal lie, where the baby is aligned vertically with the mother’s spine, is the normal and optimal position for labor. It typically does not cause prolonged or difficult labor.
Choice B rationale
A gynecoid pelvis is considered the most favorable pelvic shape for vaginal delivery. It is roomy and allows for the easiest passage of the baby through the birth canal, reducing the likelihood of prolonged labor.
Choice C rationale
General flexion, where the baby’s chin is tucked to its chest and the limbs are flexed, is the optimal fetal attitude for birth. This position facilitates a smoother and shorter labor process.
Choice D rationale
Persistent occiput posterior (OP) position, where the baby’s head is down but facing the mother’s front, can result in a difficult and prolonged labor. This position often leads to severe back pain for the mother and may complicate the labor process.
Correct Answer is B
Explanation
Choice A rationale
Placing a newborn on the parent's stomach and covering with a warm blanket helps to regulate body temperature through skin-to-skin contact, which is essential for newborns, especially shortly after birth.
Choice B rationale
Rectal temperature checks are not recommended for newborns due to the risk of rectal perforation. Newborn temperatures are typically monitored using axillary (underarm) methods.
Choice C rationale
Keeping a newborn’s head covered helps to prevent heat loss, as a significant amount of body heat can be lost through the head. This practice is crucial in maintaining the newborn's body temperature.
Choice D rationale
Newborns should be kept away from drafts, including fans and air conditioning vents, to prevent them from becoming too cold. Keeping the bassinet away from these can help maintain a stable temperature.
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