Nokea
A woman required a cesarean section for safe delivery of her newborn. She is planning to breastfeed and verbalized concern about pain. What is the best suggestion by the nurse?
- A. Consider formula feeding for the first few days.'
- B. Pumping breast milk would be best for now.'
- C. Take pain medication 30 to 40 minutes prior to nursing.'
- D. Use the football hold when breastfeeding.'
Correct Answer: D
Rationale: The football hold is recommended to decrease pressure on the operative site, making breastfeeding more comfortable for a mother post-cesarean section.
You may also like to solve these questions
What statement made by a new mother indicates she needs additional information about breastfeeding?
- A. I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other breast.'
- B. The baby needs to nurse at least 5 minutes on the breast to get the hindmilk.'
- C. The baby has been nursing every 2 to 3 hours.'
- D. If the baby gets fussy between feedings, I give her a bottle of water.'
Correct Answer: D
Rationale: Supplemental feedings of formula or water should not be offered to a healthy newborn who is breastfeeding.
A new mother has decided not to breastfeed her newborn. What information will the nurse include when planning to teach the mother about formula feeding?
- A. Positioning the bottle so that the nipple is full of formula during the entire feeding
- B. Heating the infant formula in a microwave
- C. Burping the infant after 4 ounces and again when the bottle is empty
- D. Propping a bottle for a feeding
Correct Answer: A
Rationale: The nipple of the bottle should be kept full of formula to reduce the amount of air the infant swallows.
A primipara tells the nurse, 'My afterpains get worse when I am breastfeeding.' What is the most appropriate nursing response?
- A. I'll get you some aspirin to relieve the cramping that you feel.'
- B. Afterpains are more intense with your first baby.'
- C. Breastfeeding releases a hormone that causes your uterus to contract.'
- D. A change of position when you're breastfeeding might help.'
Correct Answer: C
Rationale: Breastfeeding mothers may have more afterpains because infant suckling causes the posterior pituitary to release oxytocin, which is a hormone that contracts the uterus.
While instructing a new mother on formula preparations, the nurse would include what types? (Select all that apply.)
- A. Ready-to-feed formula
- B. Concentrated liquid formula
- C. Powdered formula
- D. Cow's milk
- E. Canned evaporated milk
Correct Answer: A,B,C
Rationale: Formula choices are ready-to-use, concentrated liquid formula that will be diluted according to the infant's needs, and powdered formula that is mixed as needed. Cow's milk and canned evaporated milk are unsuitable, because they are nutritionally inadequate and stress the kidneys.
In the recovery room, the nurse checks the newly delivered woman's fundus following a cesarean section. How would the nurse proceed with this assessment?
- A. Palpate from the midline to the side of the body.
- B. Palpate from the symphysis to the umbilicus.
- C. Palpate from the side of the uterus to the midline.
- D. Massage the abdomen in a circular motion.
Correct Answer: C
Rationale: The fundus is checked gently by walking the fingers from the side of the uterus to the midline.