Newborn Nutrition > Maternal & Newborn
Exam Review
Feeding Cues and Patterns
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is teaching a new mother about feeding cues for her newborn.
Which of the following statements by the mother indicates a need for further teaching?
Explanation
The mother should feed her baby when he shows early signs of hunger, such as sucking on his fingers, rooting, bringing his hand to his mouth, or opening and closing his mouth.
These are feeding cues that indicate the baby is ready to feed and will latch on well.
Choice B is wrong because sucking on fingers is an early sign of hunger and not a sign of needing further teaching.
Choice C is wrong because turning his head toward the breast is an early sign of hunger and not a sign of needing further teaching.
Choice D is wrong because opening and closing his mouth is an early sign of hunger and not a sign of needing further teaching.
Choice A is the only statement that indicates a need for further teaching because crying is a late sign of hunger and not an ideal time to feed the baby.
Crying can make it harder for the baby to latch on and feed effectively.The mother should try to feed her baby before he starts to cry by looking for the early signs of hunger
A nurse is assessing a 2-month-old infant who is bottle-fed.
The nurse observes that the infant pushes away the bottle and falls asleep after drinking 3 ounces of formula.
The nurse should recognize this as an example of which of the following feeding cues?
Explanation
Satiety cue.
A satiety cue is a sign that the infant is full and satisfied after feeding.Pushing away the bottle and falling asleep are examples of satiety cues.
Hunger cue is wrong because hunger cues are signs that the infant is hungry and wants to feed.Hunger cues include rooting, sucking, crying, and bringing hands to mouth.
Distress cue is wrong because distress cues are signs that the infant is upset or uncomfortable and needs soothing.Distress cues include arching back, turning away, grimacing, and fussing.
Discomfort cue is wrong because discomfort cues are signs that the infant is experiencing pain or physical discomfort and needs relief.Discomfort cues include squirming, flailing, grunting, and crying.
The normal range of formula intake for a 2-month-old infant is about 4 to 5 ounces per feeding, every 3 to 4 hours.
However, this may vary depending on the infant’s weight, growth rate, and individual needs.
The nurse should assess the infant’s growth and development, as well as the caregiver’s feeding practices and concerns.
A nurse is planning to teach a group of parents about feeding patterns for infants.
Which of the following information should the nurse include in the teaching?
Explanation
Newborns should be fed about 15 to 20 minutes per breast or 2 to 3 ounces per bottle.This is because breast milk or formula provides the optimal nutrition for newborns and they need about 110 kcal/kg/day for the first 3 months.
Choice A is wrong because newborns do not need to be fed every 2 to 3 hours during the day and night.They should be fed on cue, which means responding to their signs of hunger, such as sucking on fists, lip smacking, or fussing.
Feeding on cue can help establish a good milk supply and prevent overfeeding or underfeeding.
Choice C is wrong because newborns should not be fed on a strict schedule rather than on cue.Feeding on a schedule can interfere with the natural regulation of hunger and satiety cues and can lead to feeding problems later on.
Feeding on cue can also promote bonding and attachment between the parent and the newborn.
Choice D is wrong because newborns should be fed at least 6
A nurse is caring for a 4-month-old infant who is breastfed.
The mother reports that her baby feeds about six times a day and sleeps through the night.
The nurse should evaluate this feeding pattern as which of the following?
Explanation
Normal for the infant’s age and weight.According to the CDC, breastfed babies may feed as often as every 1 to 3 hours in the first days, and then about every 2 to 4 hours on average by 4 months of age.
The number of feedings may vary depending on the baby’s needs and cues.Breastfeeding six times a day and sleeping through the night is within the normal range for a 4-month-old infant who is breastfed.
Choice B is wrong because the infant’s growth rate and needs are not solely determined by the frequency of breastfeeding, but also by the amount of milk intake, weight gain, and diaper output.If the infant is gaining weight, seems content, and has several wet and dirty diapers a day, then he or she is likely getting enough breast milk.
Choice C is wrong because there is no evidence that the infant is overfed or overweight.Breastfed babies are less likely to overeat than formula-fed babies, as they can regulate their own milk intake according to their hunger and satiety signals.
The infant’s weight should be monitored by a pediatrician and compared to a growth chart for breastfed babies.
Choice D is wrong because there is no standard or regular feeding pattern for breastfed babies.Breastfeeding on demand, or following the baby’s cues, is recommended by the CDCand other health organizations.
The infant’s feeding pattern may change over time as he or she grows and starts eating solid foods.
The mother should not worry about the irregularity of the feeding pattern as long as the infant is healthy and thriving.
A nurse is reviewing the medical record of a newborn who weighs 3 kg (6 lb 10 oz) at birth.
The nurse should expect the newborn to have which of the following feeding patterns by day 10 of life?
Explanation
Feed every 2 hours and take 60 mL (2 oz) per feeding.This is because newborns need about 150 to 200 mL of formula per kilo of their weight a day until they’re 6 months old.
A newborn who weighs 3 kg would need about 450 to 600 mL of formula a day.
Dividing this by 24 hours, the newborn would need about 19 to 25 mL of formula per hour.
Feeding every 2 hours would provide about 38 to 50 mL of formula per feeding, which is close to the recommended amount of 60 mL (2 oz).
Choice A is wrong because feeding every 4 hours and taking 90 mL (3 oz) per feeding would provide too much formula at once and not enough throughout the day.
The newborn would get about 540 mL of formula a day, which is on the lower end of the recommended range, but would also risk overfeeding and spitting up.
Choice C is wrong because feeding every 3 hours and taking 75 mL (2.5 oz) per feeding would also provide too much formula at once and not enough throughout the day.
The newborn would get about 600 mL of formula a day, which is on the higher end of the recommended range, but would also risk overfeeding and spitting up.
Choice D is wrong because feeding every hour and taking 30 mL (1 oz) per feeding would provide too little formula at once and too much throughout
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