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 B
Explanation
Grilled cheese sandwich with tomato soup.This food choice indicates an understanding of the teaching because it is low in purines, which are chemicals that break down into uric acid and can trigger gout attacks.
Some additional information for the response are:
• Choice A.Liver and onions with mashed potatoes is wrong because liver is an organ meat that is high in purines and should be avoided by people with gout.
• Choice C.Roast beef with green beans and rice is wrong because roast beef is a red meat that is high in purines and should be limited by people with gout.
• Choice D.Sardines on whole wheat crackers with cheese is wrong because sardines are a type of oily fish that is high in purines and should be avoided by people with gout.
• A low-purine diet for gout management should include fruits, vegetables, whole grains, legumes, nuts, and low-fat dairy products.It should also limit sugar, alcohol, and meat consumption.
Correct Answer is A
Explanation
Breast milk does not contain enough vitamin D for bone health.Vitamin D is needed to support healthy bone development and to prevent rickets, a condition that causes weak or deformed bones.Breast milk alone does not provide infants with an adequate amount of vitamin D.The Dietary Guidelines for Americans and American Academy of Pediatrics recommend breastfed and partially breastfed infants be supplemented with 400 IU per day of vitamin D beginning in the first few days of life.
Choice B is wrong because breast milk does not interfere with vitamin D absorption from sunlight.However, reducing sun exposure is important for preventing skin cancer, and other factors such as clothing, air pollution, and skin type can also decrease the amount of vitamin D a person can make from sunlight.
Choice C is wrong because breast milk does not increase vitamin D excretion in urine.
Vitamin D is a fat-soluble vitamin that is stored in the body and not easily lost in urine.
Choice D is wrong because breast milk does not inhibit vitamin D synthesis in the liver.Vitamin D is synthesized in the skin from exposure to sunlight, and then activated in the liver and kidneys to its active form.
Breast milk does not affect this process.
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