Nutritional needs of an new born Flashcards
- A new breastfeeding mother asks the nurse how to prevent nipple soreness. The nurse tells this woman that the key to
preventing sore nipples would be which of the following?
a. Limiting the length of breastfeeding to no more than 10 minutes on each breast until the milk comes in
b. Applying lanolin to each nipple and areola after each feeding
c. Using correct breastfeeding technique
d.. Using nipple shells to protect the nipples and areola between feeding
c. Using correct breastfeeding technique
2 .The nurse is evaluating a woman’s breastfeeding technique. Which of the following actions would indicate that the
woman needs further instruction regarding breastfeeding to ensure success? (Circle all that apply.)
a. Washes her breasts and nipples thoroughly with soap and water twice a day
b. Massages a small amount of breast milk into her nipple and areola before and after each feeding
c. Lines her bra with a thick plastic-lined pad to absorb leakage
d. Positions baby supporting back and shoulders securely and then brings her breast toward the baby, putting the
nipple in the baby’s mouth
e. Feeds her baby every 2 to 3 hours
f. Inserts her finger into the corner of her baby’s mouth between the gums before removing him from the breast
a. Washes her breasts and nipples thoroughly with soap and water twice a day
c. Lines her bra with a thick plastic-lined pad to absorb leakage
d. Positions baby supporting back and shoulders securely and then brings her breast toward the baby, putting the
nipple in the baby’s mouth
- A woman has determined that bottle-feeding is the best feeding method for her. Instructions the woman should receive
regarding this feeding method should include which of the following?
a. Provide the infant with supplemental vitamin along with the iron-fortified formula.
b. Sterilize water by boiling, then cool and mix with formula powder or concentrate.
c. Expect a 2-week-old newborn to drink approximately 30 to 60 mL of formula at each feeding.
d. Microwave refrigerated formula for about 2 minutes before feeding the newborn.
b. Sterilize water by boiling, then cool and mix with formula powder or concentrate.
- The nurse should teach breastfeeding mothers about breast care measures to preserve the integrity of the nipples and
areola. Which of the following should the nurse include in these instructions?
a. Cleanse nipples and areola twice a day with mild soap and water.
b. Apply vitamin E cream to nipples and areola at least four times each day before a feeding.
c. Insert plastic-lined pads into the bra to absorb leakage and protect clothing.
d. Place a nipple shell into the bra if nipples are sore.
d. Place a nipple shell into the bra if nipples are sore.
- During a home visit, the mother of a 1-week-old infant son tells the nurse that she is very concerned about whether her
baby is getting enough breast milk. The nurse would tell this mother that at 1 week of age a well-nourished newborn
should exhibit which of the following?
a. Weight gain sufficient to reach his birthweight
c. Approximately 10 to 12 wet diapers each day
d. Breastfeeding at a frequency of every 4 hours or about 6 times each day
b. A minimum of three bowel movements each day
- Nurses providing nutritional instruction should be cognizant of the uniqueness of human milk. Which statement is
correct?
a. Frequent feedings during predictable growth spurts stimulate increased milk production.
b. The milk of preterm mothers is the same as the milk of mothers who gave birth at term.
c. The milk at the beginning of the feeding is the same as the milk at the end of the feeding.
d. Colostrum is an early, less concentrated, less rich version of mature milk.
a. Frequent feedings during predictable growth spurts stimulate increased milk production.
- The process whereby parents awaken the infant to feed every 3 hours during the day and at least every 4 hours at
night is:
a. Known as demand feeding.
b. Necessary during the first 24 to 48 hours after birth.
c. Used to set up the supply-meets-demand system.
d. A way to control cluster feeding
b. Necessary during the first 24 to 48 hours after birth.
- All parents are entitled to a birthing environment in which breastfeeding is promoted and supported. The Baby Friendly
Hospital Initiative endorsed by WHO and UNICEF was founded to encourage institutions to offer optimal levels of care for
lactating mothers. Which instruction is not included in the “Ten Steps to Successful Breastfeeding for Hospitals”?
a. Give newborns no food or drink other than breast milk.
b. Have a written breastfeeding policy that is communicated to all staff.
c. Help mothers initiate breastfeeding within one half hour of birth.
d. Give artificial teats or pacifiers as necessary.
d. Give artificial teats or pacifiers as necessary.
- As the nurse assists a new mother with breastfeeding, the client 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:
a. More calories.
b. Essential amino acids.
c. Important immunoglobulins.
d. More calcium.
c. Important immunoglobulins
- The best reason for recommending formula over breastfeeding is that:
a. The mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk.
b. The mother lacks confidence in her ability to breastfeed.
c. Other family members or care providers also need to feed the baby.
d. The mother sees bottle-feeding as more convenient
a. The mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk.
