20/02/2023
1 -Jane Albright is breastfeeding her baby girl, whom she delivered at 6 this morning, weighing 6 lb 7.5 oz. The labor and delivery for mother and infant were uneventful. During the first feeding, Mrs. Albright asked how long her baby should suck on each breast per feeding. The nurse's best response would be which of the following?
a. The infant should start nursing about15 minutes on each breast.
b. Five minutes on each breast for each feeding will be sufficient for today.
c. Nurse only on one breast today for 5 minutes per feeding and start alternating breasts with the first feeding tomorrow.
d. Ten minutes at each breast will be sufficient and will also keep the infant from becoming fatigued.
2- When counseling a new mother on breastfeed ing, the nurse would know that the most fundamental ingredient for success is to:
a. teaches the client how to relax.
b. place the infant correctly on the breast.
c. teaches the client about holding the newborn in the various feeding positions
d. wait until the newborn actively demands a feeding.
3- On the second postpartum day, the nurse ob serves that a new mother is washing her breast and hands with soap just before she is to receive her infant for the next feeding. The nurse's action, if any, would be governed by which of the following statements?
a. good breast hygiene is necessary to avoid the spread of pathogens from the mother's skin to the newborn.
b. The client should not clean her breast and hands in preparation for feeding until the infant has arrived in the room.
c. Cleansing the breast with soap may lead to ni**le soreness and dryness.
d. Washing the breasts increases milk production that may be wastefully expressed before the infant is to be fed.
4 -On the third postpartum day, Mrs. Jacobs tells the nurse that she sometimes has difficulty getting the infant to suck. She describes the infant opening her mouth when the breast touches her face but turning her head in the opposite direction. The nurse would explain that this behavior is related to:
a. the infant's immaturity and unfamiliarity with the technique of feeding.
b. the extrusion reflex, normal for newborns, and demonstrates the need for much assistance to ensure adequate nutrition.
c. the rooting reflex, which suggests improper technique when placing the infant on the breast.
d. turning neck reflex, which suggests that breastfed infants are most sensitive to tactile stimulation.
5 -A new mother reports that her daughter often falls asleep at feedings before she has taken in enough nutrients. Which of the following statements would be a helpful suggestion?
a. Wash the infant's face with cool water.
b. Give the infant a bath before alternating breasts to complete the feeding.
c. Rub the fontanel of the infant's head gently.
d. Lightly tickle the bottom of the newborn's feet.
6 -Which of the following preparations of commercial formulas would the nurse suggest as being the least expensive?
a. Powder to be combined with water.
b. Condensed liquid to be diluted with equal parts of water.
c. "Ready to pour" type.
d. Individually prepackaged.
7 -Choose the correct statement to be used to calculate a nutrient needed for the newborn infant.
a. Fluid needs are approximately 100 cc/kg body weight/day b. Fat needs are approximately 20 g/kg body weight/day.
c. Protein needs are 2.2 g/kg body weight/day.
d. Caloric needs are 100 kcal/kg body weight/day.
8 - Which of the following is true about newborn nutrition and nutritional needs?
a. The caloric requirements in the neonatal period exceed those at any other age.
b. An infant up to 2 months of age requires 50 to 60 cal/kg of body weight (22.7 to 27.3 kcal/lb) every 24 hours.
c. The caloric requirement at 1 year of age is100 kcal/kg or 45 kcal/lb/day
d. The 6-month-old has a caloric requirement similar to an adult requirement of 42 kcal/ kg or 20 kcal/lb/day.
e. The actual caloric requirement of an infant depends on an infant's individual activity level and growth rate.
