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 A
Explanation
Honey should be limited or avoided to prevent dental caries in infants.
Honey is a type of sugar that can feed the bacteria that cause cavities, especially if it is left on the teeth for a long time.Honey can also contain spores of a bacterium that can cause botulism, a serious illness, in infants.
Choice B is wrong because cheese is not a risk factor for dental caries in infants.Cheese can actually help prevent cavities by stimulating saliva production and neutralizing acids in the mouth.
Choice C is wrong because avocado is not a risk factor for dental caries in infants.Avocado is a healthy fat that does not contain sugars that can feed cavity-causing bacteria.
Choice D is wrong because green leafy vegetables are not a risk factor for dental caries in infants.Green leafy vegetables are rich in vitamins and minerals that can support oral health and general health.
Correct Answer is A
Explanation
Hemoglobin level of 11 g/dL.This is within the normal range for a newborn, which is 13.4-19.9 g/dL for the first month.
Hemoglobin is the oxygen-carrying protein in red blood cells.
Choice B is wrong because serum calcium level of 8 mg/dL is below the normal range for a newborn, which is 8.5-10.6 mg/dL for the first month.
Calcium is important for bone health and muscle function.
Choice C is wrong because serum bilirubin level of 15 mg/dL is above the normal range for a newborn, which is less than 12 mg/dL for the first week.
Bilirubin is a waste product from the breakdown of red blood cells.
High levels can cause jaundice, a yellowing of the skin and eyes.
Choice D is wrong because serum sodium level of 130 mEq/L is below the normal range for a newborn, which is 135-145 mEq/L.
Sodium is an electrolyte that helps regulate fluid balance and nerve impulses.
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