A nurse is reviewing discharge instructions with a postpartum client who plans to breastfeed her newborn exclusively for at least 6 months.
Which of the following statements by the client indicates an understanding of the teaching?
I will need to take iron supplements while I am breastfeeding
I will drink at least eight glasses of water every day
I will avoid eating any foods that contain dairy products
I will start giving my baby cereal when he is 4 months old
The Correct Answer is B
I will drink at least eight glasses of water every day. This statement indicates that the client understands the importance of hydration for breast milk production and the prevention of constipation.
Some possible explanations for the other choices are:
• Choice A is wrong because iron supplements are not necessary for breastfeeding mothers unless they have anemia. Iron supplements can also cause constipation and stomach upset in some women.
• Choice C is wrong because dairy products are not harmful for breastfeeding mothers or their infants, unless there is a history of allergy or intolerance. Dairy products can provide calcium, protein and vitamin D for the mother and the infant.
• Choice D is wrong because infants should not be given any solid foods before 6 months of age, according to the American Academy of Pediatrics. Introducing solids too early can interfere with breastfeeding, increase the risk of allergies and infections, and cause choking or aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Growth and development evaluation should be done annually until adulthood, plotted on appropriate growth charts and compared with expected norms for age and sex, and used to identify any deviations from normal or expected patterns of growth and development.
Choice A is wrong because growth and development evaluation should not be done only annually, but also at specific ages recommended by the American Academy of Pediatrics (AAP), such as 9 months, 18 months, 24 months, and 30 months.
Choice B is wrong because growth and development evaluation should not only be plotted on appropriate growth charts and compared with expected norms for age and sex, but also include developmental milestones in playing, learning, speaking, behaving, and moving.
Choice C is wrong because growth and development evaluation should not only be used to identify any deviations from normal or expected patterns of growth and development, but also to monitor the child’s progress and provide early intervention if needed.
Correct Answer is B
Explanation
“I will give my baby soft finger foods that he can pick up and eat by himself.” This statement indicates an understanding of the teaching because it shows that the mother knows how to provide appropriate complementary foods for her infant who is eight months old.Complementary feeding, also known as weaning, mixed feeding or introduction of solid foods, should begin for infants by six months of age (26 weeks) but not before 17 weeks.Breast milk or infant formula should continue during the complementary feeding period with amounts gradually reduced as the variety of foods increases.WHO and UNICEF recommend that infants start receiving complementary foods at 6 months of age in addition to breast milk.Initially, they should receive complementary foods 2–3 times a day between 6–8 months and increase to 3–4 times daily between 9–11 months and 12–24 months of age.Complementary foods should be nutritionally adequate, safe, and properly fed.
Choice A is wrong because pureed foods are not suitable for an eight-month-old infant who can handle more textured foods.
Pureed foods are recommended for infants who are just starting complementary feeding at around six
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