A nurse is supporting a mother to continue breastfeeding or formula feeding when she returns to work or school.

Which of the following strategies should the nurse suggest to help the mother maintain her milk supply?

Pumping or expressing milk at least every 3 to 4 hours during work or school hours.

Storing milk in clean glass or plastic containers with tight-fitting lids in a refrigerator or freezer.

Labeling milk containers with the date and time of expression and using them in order of oldest to newest.

All of the above.

Answer and Explanation

The Correct Answer is D

The nurse should suggest all of these strategies to help the mother maintain her milk supply when she returns to work or school.

Choice A is correct because pumping or expressing milk at least every 3 to 4 hours during work or school hours stimulates the production of prolactin, the hormone that regulates milk synthesis.

Choice B is correct because storing milk in clean glass or plastic containers with tight-fitting lids in a refrigerator or freezer preserves the quality and safety of the milk.

Choice C is correct because labeling milk containers with the date and time of expression and using them in order of oldest to newest ensures that the milk is used before it spoils.

Choice D is correct because it includes all of the above strategies.

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Correct Answer is B

Explanation

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.

A. Eat small, frequent meals throughout the day B. Drink fluids with meals rather than between meals C. Increase intake of simple carbohydrates such as fruit juice D. Avoid foods that are high in fat and protein.

Correct Answer is A

Explanation

Eat small, frequent meals throughout the day.This will help prevent dumping syndrome, which is a condition that occurs when food moves too fast from the stomach to the duodenum, causing symptoms such as abdominal cramps, diarrhea, nausea, vomiting, flushing, dizziness and rapid heart rate.Eating small, frequent meals will reduce the amount of food that enters the small intestine at once and slow down gastric emptying.

Choice B is wrong because drinking fluids with meals rather than between meals will increase the volume of food that enters the small intestine and worsen dumping syndrome symptoms.Fluids should be consumed at least 30 minutes after a meal.

Choice C is wrong because increasing intake of simple carbohydrates such as fruit juice will cause a rapid rise and fall of blood sugar levels, leading to late dumping syndrome symptoms such as sweating, hunger, low blood sugar, fatigue, dizziness and weakness.Simple carbohydrates should be avoided and replaced with complex carbohydrates such as whole grains, fruits and vegetables.

Choice D is wrong because avoiding foods that are high in fat and protein will not help prevent dumping syndrome.In fact, fat and protein can slow down gastric emptying and stabilize blood sugar levels.A moderate amount of fat and protein should be included in each meal.However, too much fat at one time can have the opposite effect and trigger dumping syndrome symptoms.

Newborn Nutrition

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A nurse is supporting a mother to continue breastfeeding or formula feeding when she returns to work or school. Which of the following strategies should the nurse suggest to help the mother maintain her milk supply?

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A nurse is supporting a mother to continue breastfeeding or formula feeding when she returns to work or school.

Which of the following strategies should the nurse suggest to help the mother maintain her milk supply?