Prior to discharge, a new mother who is breastfeeding wonders the best way to know her newborn is getting enough milk.
Which information should the practical nurse (PN) provide?
Use an on-demand feeding schedule.
Count the number of wet diapers per day.
Initiate feeding on the same breast each time.
Supplement with formula between feedings.
The Correct Answer is B
Choice A rationale
Using an on-demand feeding schedule allows the newborn to feed when hungry, which is important for establishing milk supply and meeting the infant's needs. However, it does not directly provide a quantitative measure of milk intake, as duration and frequency can vary.
Choice B rationale
Counting the number of wet diapers per day is an objective and reliable indicator of adequate hydration and milk intake in a breastfed newborn. Typically, a newborn should have at least 6-8 wet diapers per 24 hours by the end of the first week of life, indicating sufficient milk consumption.
Choice C rationale
Initiating feeding on the same breast each time is incorrect. It is generally recommended to alternate breasts with each feeding or offer both breasts at each feeding to ensure equal stimulation and drainage, which helps maintain milk supply in both breasts and prevents engorgement.
Choice D rationale
Supplementing with formula between feedings is not recommended as a primary method to assess milk intake and can interfere with the establishment of a robust breastfeeding relationship. It can decrease the infant's demand for breast milk, potentially reducing the mother's milk supply and introducing allergens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A visit summary documenting the report of abuse may be legally required for documentation but does not directly provide the client with immediate safety resources. The priority is to empower the client with actionable steps to ensure her safety and well-being in an abusive situation.
Choice B rationale
Contact information for a women's shelter provides a crucial immediate resource for safety and support. These shelters offer a safe haven, counseling, and assistance with legal and social services, empowering the client to escape the abusive environment and access necessary resources for herself and potentially her children.
Choice C rationale
Paperwork needed to file a restraining order is a legal step that the client may choose to pursue later. However, in an immediate confiding situation, providing a direct safety resource like shelter information is more paramount, as filing a restraining order requires time and legal processes that may not offer immediate protection.
Choice D rationale
A safety plan to keep in a purse at all times is a valuable tool for future use but does not address the immediate need for a safe place or resources. While important for long-term safety, the initial intervention should focus on providing immediate pathways to escape the abusive situation.
Correct Answer is C
Explanation
Choice A rationale
While preventing further disability is a component of care for some progressive conditions, it is not the primary overarching goal for all developmental disabilities. Many developmental disabilities are static and non-progressive, meaning their primary impact is on functional limitations rather than ongoing deterioration. The focus shifts to maximizing existing abilities and potential rather than preventing progression.
Choice B rationale
Meeting rehabilitation needs is a critical aspect of care for children with developmental disabilities, focusing on improving specific skills and functions. However, rehabilitation is a means to an end. The ultimate objective extends beyond just addressing deficits to encompassing the child's holistic development and empowering them to achieve their highest possible level of independence and functioning.
Choice C rationale
The primary goal for a child with a developmental disability is to help them achieve their maximum potential. This encompasses a holistic approach, focusing on enhancing their cognitive, physical, social, emotional, and adaptive skills. It aims to foster independence, improve quality of life, and integrate them into society as much as possible, recognizing their unique strengths and capabilities.
Choice D rationale
Promoting the child's social acceptability, while important for their well-being and integration, is a secondary outcome rather than the primary goal of treatment. The main focus is on the child's individual development and functional abilities. Enhanced social acceptability often naturally follows when a child achieves greater independence and participation in various life domains.
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