Nokea
The nurse is counseling a lactating mother about diet. What would the nurse include with this information?
- A. Consume 500 more calories than her usual prepregnancy diet.
- B. Eat less meat and more fruits and vegetables.
- C. Drink 3 to 4 tall glasses of fluid daily.
- D. Eat 1000 more calories than her usual prepregnancy diet.
Correct Answer: A
Rationale: To maintain nutrient stores while breastfeeding, the mother needs 500 additional calories each day over her prepregnancy diet.
You may also like to solve these questions
What postpartum exercises should the nurse teach a patient who had a vaginal delivery yesterday? (Select all that apply.)
- A. Abdominal tighteners
- B. Head lift
- C. Pelvic tilt
- D. Kegel exercises
- E. Leg lifts
Correct Answer: A,B,C,D
Rationale: Exercises for postpartum involution such as abdominal tighteners, head lifts, pelvic tilts, and Kegel exercises are acceptable. Leg lifts are too strenuous early in the postpartum period.
A new mother states her preference to formula feed her newborn. What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort?
- A. Wear a well-fitting bra continuously for several days.
- B. Stand in a warm shower, letting the water spray over the breasts.
- C. Express small amounts of milk from the breasts several times a day.
- D. Massage the breasts when they ache.
Correct Answer: A
Rationale: When a mother does not wish to breastfeed, a snug bra worn around the clock can help alleviate discomfort from engorgement.
What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?
- A. Well-contracted with its upper border at or just below the umbilicus
- B. Well-contracted with its upper border three or four fingerbreadths above the umbilicus
- C. Relaxed with its upper border level with the umbilicus
- D. Relaxed with its upper border two or three fingerbreadths below the umbilicus
Correct Answer: A
Rationale: Immediately after the placenta is expelled, the uterine fundus can be felt as a firm mass, about the size of a grapefruit, at the level of the umbilicus.
On the second postpartum day, a mother bathed her newborn for the first time. She tells the nurse, 'I don't think I did it right.' What postpartum psychological stage is this woman most likely in based on this comment?
- A. Taking in
- B. Taking hold
- C. Letting go
- D. Settling down
Correct Answer: B
Rationale: In phase 2, taking hold, the mother begins to initiate action and becomes interested in caring for the infant. In doing so, she may become critical of her performance.
The nurse instructed a postpartum woman about storing and freezing breast milk. What statement by the woman leads the nurse to determine that the teaching was effective?
- A. I can thaw frozen breast milk in the microwave.'
- B. I'll put enough breast milk for one day in a container.'
- C. Breast milk can be stored in glass containers.'
- D. Breast milk can be kept in the refrigerator for up to 3 months.'
Correct Answer: C
Rationale: Breast milk can be safely stored in glass or clear hard plastic containers.