Nokea
Which statement indicates the new mother is breastfeeding correctly?
- A. I will alternate breasts when feeding the baby.'
- B. I keep the baby on a 4-hour feeding schedule.'
- C. I let the baby stay on the first breast only 5 minutes.'
- D. I put only the nipple in the baby's mouth when I am breastfeeding.'
Correct Answer: A
Rationale: Alternating breasts for feeding increases milk production, particularly hindmilk, which has a higher protein and fat content.
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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.
What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?
- A. Ask, 'Is this your band number?'
- B. Confirm room number of mother.
- C. Ask the mother to identify herself verbally.
- D. Check the band number of the infant with that of the mother.
Correct Answer: D
Rationale: The nurse should check the band number of the infant with that of the mother by asking the mother to verbally read the number.
A woman will be discharged 48 hours after a vaginal delivery. When planning discharge teaching, the nurse would include what information about lochia?
- A. Lochia should disappear 2 to 4 weeks postpartum.
- B. It is normal for the lochia to have a slightly foul odor.
- C. A change in lochia from pink to bright red should be reported.
- D. A decrease in flow will be noticed with ambulation and activity.
Correct Answer: C
Rationale: A return to bright red lochia rubra may indicate a late postpartum hemorrhage and must be reported.
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.
The nurse is caring for a woman of Middle Eastern descent on the first postpartum day. Education is provided regarding instruction on use of a sitz bath. What documentation best indicates that the woman has understood the provided instruction?
- A. Patient correctly performed return demonstration.
- B. Patient indicated understanding by nodding head with instruction.
- C. Patient verbalizes 'I understand.'
- D. Family member indicates patient understands procedure.
Correct Answer: A
Rationale: The nurse may need an interpreter to understand and provide optimal care to the woman and her family. A return demonstration is the most reliable indicator of understanding, especially considering cultural nuances where nodding may reflect courtesy rather than comprehension.