The breastfeeding patient should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?
Choose correct answer/s
Break the suction by inserting your finger into the corner of the infant's mouth.
A popping sound occurs when the breast is correctly removed from the infant's mouth.
Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed.
Elicit the Moro reflex in the baby to wake the baby up, and remove the breast when the baby cries.
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Question 2
Free
Multiple Choice
Which woman is most likely to continue breastfeeding beyond 6 months?
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A woman who avoids using bottles.
A woman who uses formula for every other feeding.
A woman who offers water or formula after breastfeeding.
A woman whose infant is satisfied for 4 hours after the feeding.
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Question 3
Free
Multiple Choice
In which condition is breastfeeding contraindicated?
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Triplet birth
Flat or inverted nipples
Human immunodeficiency virus infection
Inactive, previously treated tuberculosis
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Question 4
Free
Multiple Choice
Which type of formula should not be diluted before being administered to an infant?
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Powdered
Concentrated
Ready to use
Modified cow's milk
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Question 5
Free
Multiple Choice
How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?
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50 to 75
100 to 110
120 to 140
150 to 200
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Question 6
Multiple Choice
Which hormone is essential for milk production?
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Estrogen
Prolactin
Progesterone
Lactogen
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Question 7
Multiple Choice
Which recommendation should the nurse make to a patient to assist in initiating the milk-ejection reflex?
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Wear a well-fitting firm bra.
Drink plenty of fluids.
Place the infant to the breast.
Apply cool packs to the breast.
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Question 8
Multiple Choice
Which is the first step in assisting the breastfeeding mother to nurse her infant?
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Assess the woman's knowledge of breastfeeding.
Provide instruction on the composition of breast milk.
Discuss the hormonal changes that trigger the milk-ejection reflex.
Help her obtain a comfortable position and place the infant to the breast.
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Question 9
Multiple Choice
Which of the following is an important consideration in positioning a newborn for breastfeeding?
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Placing the infant at nipple level facing the breast
Keeping the infant's head slightly lower than the body
Using the forefinger and middle finger to support the breast
Limiting the amount of areola the infant takes into the mouth
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Question 10
Multiple Choice
The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
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Unwrap and gently arouse the infant.
Wait an hour and attempt to feed again.
Try offering a bottle at the next feeding.
Put the infant in the crib and try again later.
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Question 11
Multiple Choice
To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?
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Feed her infant no more than every 4 hours.
Limit her intake of fluids for the first few days.
Apply cold packs to the breast prior to feeding.
Breast-feed frequently and for adequate lengths of time.
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Question 12
Multiple Choice
As the nurse assists a new mother with breastfeeding, the mother asks, "If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?" The nurse's best response is that it contains
Choose correct answer/s
more calcium.
more calories.
essential amino acids.
important immunoglobulins.
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Question 13
Multiple Choice
How should the nurse explain mild supply and demand when responding to the question, "Will I produce enough milk for my baby as she grows and needs more milk at each feeding?"
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Early addition of baby food will meet the infant's needs.
The breast milk will gradually become richer to supply additional calories.
As the infant requires more milk, feedings can be supplemented with cow's milk.
The mother's milk supply will increase as the infant demands more at each feeding.
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Question 14
Multiple Choice
Which technique should the nurse recommend to the postpartum patient in order to prevent nipple trauma?
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Assess the nipples before each feeding.
Limit the feeding time to less than 5 minutes.
Wash the nipples daily with mild soap and water.
Position the infant so the nipple is far back in the mouth.
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Question 15
Multiple Choice
A breastfeeding patient who was discharged yesterday calls to ask about a tender hard area on her right breast. What should the nurse's first response be?
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"This is a normal response in breastfeeding mothers."
"Notify your doctor so he can start you on antibiotics."
"Stop breastfeeding because you probably have an infection."
"Try massaging the area and apply heat; it is probably a plugged duct."
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Question 16
Multiple Choice
Which is an important consideration regarding the storage of breast milk?
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Can be thawed and refrozen
Can be frozen for up to 6 months
Should be stored only in glass bottles
Can be kept refrigerated for 72 hours
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Question 17
Multiple Choice
What is the most serious consequence of propping an infant's bottle?
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Colic
Aspiration
Dental caries
Ear infections
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Question 18
Multiple Choice
A new mother asks why she has to open a new bottle of formula for each feeding. What is the nurse's best response?
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"Formula may turn sour after it is opened."
"Bacteria can grow rapidly in warm milk."
"Formula loses some nutritional value once it is opened."
"This makes it easier to keep track of how much the baby is taking."
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Question 19
Multiple Choice
A new mother asks whether she should feed her newborn colostrum because it is not "real milk." The nurse's best answer includes which information?
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Colostrum is unnecessary for newborns.
Colostrum is high in antibodies, protein, vitamins, and minerals.
Colostrum is lower in calories than milk and should be supplemented by formula.
Giving colostrum is important in helping the mother learn how to breast-feed before she goes home.
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Question 20
Multiple Choice
A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to
Choose correct answer/s
tell the patient to wear a bra at all times to provide more support to breast tissue.
have the patient put the infant to her breast more frequently.
place ice packs on breast tissue after infant feeding.
explain that this is a normal finding and will resolve as her breast tissue becomes more used to nursing.