Newborn Nutrition > Maternal & Newborn
Exam Review
Breast Milk
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is teaching a postpartum client about the benefits of breastfeeding.
Which of the following statements by the client indicates a need for further teaching?
Explanation
Breastfeeding will make my baby smarter and more attached to me.
This statement indicates a need for further teaching because it is not based on scientific evidence and may create unrealistic expectations for the mother and the baby.Breastfeeding does not directly affect the baby’s intelligence or attachment, although it may provide some benefits for cognitive development and bonding.
Choice A is wrong because breastfeeding will help the uterus contract and reduce bleeding.This is a benefit of breastfeeding that helps the mother recover from childbirth and prevent postpartum hemorrhage.
Choice B is wrong because breastfeeding will lower the risk of breast and ovarian cancer.This is another benefit of breastfeeding that reduces the mother’s exposure to estrogen and other hormones that may promote cancer growth.
Choice C is wrong because breastfeeding will protect the baby from infections and allergies.This is a benefit of breastfeeding that provides the baby with antibodies and other immune factors that help fight off diseases and reduce the risk of allergies.
A nurse is assessing a newborn who is breastfeeding for the first time.
The nurse observes that the newborn’s nose, cheeks, and chin are touching the mother’s breast during feeding.
What should the nurse do next?
Explanation
Encourage the mother to continue feeding as usual.This is because the newborn’s nose, cheeks, and chin touching the mother’s breast during feeding indicates a good latch and positioning.A good latch and positioning help the baby to get enough milk and prevent nipple soreness for the mother.
Choice A is wrong because repositioning the newborn to avoid suffocation is not necessary.The newborn’s nose should not be squashed against the mother’s breast, but it should be clear and able to breathe.
Choice C is wrong because instructing the mother to burp the newborn frequently is not related to the newborn’s latch and positioning.Burping the newborn may help to release air that they swallow during feeding, but it does not affect how well they feed.
Choice D is wrong because suggesting the mother to switch to another position is not helpful.The mother may use different positions to breastfeed, but the most important thing is that the baby is well attached and comfortable.If the mother and baby are happy with their current position, there is no need to change it.
A nurse is caring for a postpartum client who had a cesarean section and is breastfeeding her newborn.
The nurse notices that the client is holding her newborn in a football hold position.
What is an appropriate response by the nurse?
Explanation
Praise the client for choosing a suitable position for breastfeeding.The football hold is a common and comfortable breastfeeding position that allows the mother to support the baby’s head and help with latching.It is especially good for mothers who had a cesarean section, have large breasts, or are breastfeeding twins.
Choice B is wrong because there is no need to change to a cradle hold position if the mother and baby are comfortable with the football hold.
Different positions may work better for different mothers and babies.
Choice C is wrong because the mother does not need to support her breast with her hand during feeding.
This may interfere with the baby’s latch and cause nipple soreness.
Choice D is wrong because asking the client if she is experiencing pain or discomfort in her incision may imply that she is doing something wrong by holding her baby in that position.
It may also make the mother feel anxious or guilty about her pain.
The nurse should assess the incision site regularly and provide pain relief as needed, but not question the mother’s choice of breastfeeding position.
A nurse is educating a pregnant client about the phases of lactation and breast milk composition.
The nurse explains that colostrum is the first milk produced during pregnancy and the first few days postpartum.
Which of the following information should the nurse include about colostrum? (Select all that apply.)
Explanation
The correct answer is choice A, C, D, and E. Here is why:
• Choice A is correct because colostrum is thick, yellowish, and high in protein, vitamins, minerals, immune cells, and immunoglobulins.Immunoglobulins are antibodies that provide passive immunity to the newborn.
• Choice B is wrong because it describes the characteristics of mature milk, not colostrum.Mature milk is thin, whiter, and higher in fat, carbohydrates, lactose, water, vitamins, immunoglobulins, and growth factors.
• Choice C is correct because colostrum protects the infant’s gastrointestinal tract from infections and helps establish normal flora.Normal flora are beneficial bacteria that aid in digestion and immunity.
• Choice D is correct because colostrum has a laxative effect that helps clear meconium and prevent jaundice.Meconium is the first stool of the newborn, which contains waste products from the fetal life.Jaundice is a yellowing of the skin and eyes caused by excess bilirubin, a breakdown product of red blood cells.
• Choice E is correct because colostrum meets all the nutritional needs of the newborn during the first few days of life.Colostrum is rich in calories and nutrients and provides adequate hydration to the newborn.
A nurse is counseling a breastfeeding mother about her dietary intake.
The nurse informs the mother that she should consume enough calories, fluids, protein, calcium, iron, folate, vitamin B12, vitamin D, iodine, selenium, zinc, omega-3 fatty acids, and antioxidants to support milk production and quality.
Which of the following foods should the nurse recommend to the mother as good sources of these nutrients? (Select all that apply.)
Explanation
The correct answer is choice A, B and E.These foods are good sources of protein, calcium, iron, folate, vitamin B12, vitamin D, iodine, selenium, zinc, omega-3 fatty acids, and antioxidants that are essential for milk production and quality.
Choice C is wrong because coffee, tea, soda, energy drinks, chocolate, and alcohol are not nutritious foods and can have negative effects on the mother and the baby.They can cause dehydration, irritability, insomnia, poor weight gain, and fetal alcohol syndrome.
Choice D is wrong because whole grains, fruits, vegetables, vegetable oils, and herbs are not sufficient to provide all the nutrients needed by the mother and the baby.They are good sources of carbohydrates, fiber, vitamin C, vitamin E, and phytochemicals, but they lack protein, calcium, iron, folate, vitamin B12, vitamin D, iodine, selenium, and zinc.
The normal ranges for these nutrients are:
• Protein: 71 g/day for lactating women
• Calcium: 1000 mg/day for lactating women
• Iron: 9 mg/day for lactating women
• Folate: 500 mcg/day for lactating women
• Vitamin B12: 2.8 mcg/day for lactating women
• Vitamin D: 15 mcg/day for lactating women
• Iodine: 290 mcg/day for lactating women
• Selenium: 70 mcg/day for lactating women
• Zinc: 12 mg/day for lactating women
• Omega-3 fatty acids: 1.3 g/day for lactating women
• Antioxidants: no specific recommendation but fruits and vegetables are good sources
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