Newborn Nutrition Exam Prep Ch.16 - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 16: Newborn Nutrition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A nurse is documenting a new mother’s milk production. What term should the nurse use?
1) | Prolactin |
2) | Lactogenesis |
3) | Immunoglobulin |
4) | Lactoferrin |
____ 2. When determining a term newborn’s caloric needs, which should the nurse use?
1) | 60 to 80 kcal/kg/day |
2) | 105 to 108 kcal/kg/day |
3) | 110 to 120 kcal/kg/day |
4) | 140 to 160 kcal/kg/day |
____ 3. Which must occur for lactogenesis to occur?
1) | A slow drop in estrogen level after childbirth |
2) | An increase in progesterone level prior to childbirth |
3) | An increase in prolactin with nipple stimulation |
4) | A dramatic drop in oxytocin level with nipple stimulation |
____ 4. Which type of breast milk is produced in stage 1 of human milk production?
1) | Foremilk |
2) | Colostrum |
3) | Hindmilk |
4) | Transitional milk |
____ 5. Which statement regarding the advantages of breastfeeding should the nurse include in an educational session for a pregnant woman?
1) | “Breastfeeding is economical.” |
2) | “Breastfeeding in public may cause embarrassment.” |
3) | “Certain medications may interfere with breastfeeding.” |
4) | “It may be necessary to wear breast pads because of leakage while breastfeeding.” |
____ 6. Which infant condition contraindicates breastfeeding?
1) | Galactosemia |
2) | Jaundice |
3) | Newborn prematurity |
4) | Gestational diabetes |
____ 7. A nurse is teaching a new mother on signs that the newborn is interested in nursing. What statement indicates a need for further teaching?
1) | “Rooting is a cue that my baby is ready to breastfeed.” |
2) | “Mouth and tongue movements are cues that my baby is ready to breastfeed.” |
3) | “Making hand-to-mouth movements are cues that my baby is ready to breastfeed.” |
4) | “Leaking milk from my breasts is a cue that my baby is ready to feed.” |
____ 8. A nurse is observing a breastfeeding mother achieve proper latch-on. What hand positioning should the nurse correct?
1) | Place hand in a C position around her breast. |
2) | Cover the areola. |
3) | Thumb is on top and the fingers are underneath the breast. |
4) | Brush the nipple across the baby’s lips. |
____ 9. Which data collected during a newborn wellness visit indicate the need for further intervention?
1) | Losing 5% of the birth weight |
2) | Failing to gain back initial weight loss by day seven of life |
3) | Having two bowel movements each day |
4) | Changing four wet diapers each day |
____ 10. Which mother might benefit from bottle feeding rather than breastfeeding?
1) | A mother diagnosed with epilepsy who takes medications that pass through the breast milk |
2) | A mother who will return to work 12 weeks after childbirth |
3) | A mother with inverted nipples who delivered by cesarean section |
4) | A mother with two other small children at home |
____ 11. Which parental statement indicates the need for further education related to formula preparation?
1) | “Any unused formula should be thrown out after 24 hours.” |
2) | “I will add equal amounts of formula and water when using concentrated formula.” |
3) | “Ready-to-use formula can be further diluted if my baby experiences constipation.” |
4) | “Powder formula is mixed with tap water and poured in a bottle for feedings.” |
____ 12. A nurse is educating parents about bottle feeding. Which statement requires further education?
1) | “We will check the expiration date on the formula container.” |
2) | “We will follow the instructions on how to mix the formula.” |
3) | “We will wash our hands before we prepare formula and the feeding.” |
4) | “Bottle feeding allows us to prop the bottle while we do other things.” |
____ 13. A nurse is teaching parents about bottle-feeding problems. Which statement by the parent requires further education?
1) | “We will not introduce water before 6 months of age.” |
2) | “We will dilute the formula to decrease the expense of formula.” |
3) | “We will not add infant cereal in the bottle.” |
4) | “We will not allow the baby to fall asleep with the bottle.” |
____ 14. Which nursing action assists the mother of a newborn who wants to breastfeed?
1) | Providing formula to the newborn in the nursery |
2) | Encouraging rooming-in during the hospital stay |
3) | Giving the newborn a pacifier between feedings |
4) | Encouraging bottle feeding overnight to allow for rest |
____ 15. Which parental statement indicates a need for further education related to regurgitation?
1) | “A newborn has a small stomach and typically eats small amounts the first few days.” |
2) | “A newborn typically eats small amounts the first few days.” |
3) | “I will ensure that my newborn finishes the entire bottle.” |
4) | “Overfeeding leads to regurgitation.” |
____ 16. What is the nurse’s best response when a mother states that she feels a warm tingling sensation in her breasts when she notices her newborn rooting?
1) | “It sounds like an abnormal sensation for breastfeeding mothers.” |
2) | “It is a normal sensation called the let-down reflex.” |
3) | “When this occurs, you should not breastfeed.” |
4) | “It sounds like signs of engorgement.” |
____ 17. A nursing mother is at her infant’s 6-week follow-up appointment and states, “My baby wants to eat more often and for longer periods.” What is the nurse’s best response?
1) | “You should feed your baby on one breast only at each feeding.” |
2) | “Your milk supply may be decreasing.” |
3) | “You should feed as often and as long as your infant wants.” |
4) | “You should consider bottle feeding.” |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 18. Which maternal conditions will cause the nurse to educate a new mother that formula, not breast milk, should be used for newborn nutrition? (Select all that apply.)
1) | Hypertension (HTN) |
2) | Bipolar disorder (BD) |
3) | Diabetes mellitus (DM) |
4) | Active tuberculosis (TB) |
5) | HIV |
____ 19. A nurse is teaching parents-to-be about newborn nutrition. What should the nurse include in the teaching? (Select all that apply.)
1) | Good nutrition is important for a healthy lifestyle. |
2) | Improperly fed newborns can experience organ damage. |
3) | Improper nutrition can lead to a failure to thrive. |
4) | Breastfeeding is the option for the best nutrition. |
5) | Infants rely completely on others for feeding. |
____ 20. Which parental statements regarding newborn readiness to nurse indicate correct understanding of the information provided? (Select all that apply.)
1) | “The rooting reflex indicates that my baby is ready to breastfeed.” |
2) | “When my baby makes hand-to-mouth movements, this indicates readiness for breastfeeding.” |
3) | “My baby will make tongue movements to indicate breastfeeding readiness.” |
4) | “My baby will initiate the palmar grasp when ready to breastfeed.” |
5) | “The Babinski reflex indicates that my baby is ready to breastfeed.” |
____ 21. Which statement regarding the characteristics and benefits of colostrum should the nurse include in an educational session for pregnant women? (Select all that apply.)
1) | “Colostrum contains high levels of protein.” |
2) | “Colostrum provides protection from infections.” |
3) | “Colostrum has a laxative effect.” |
4) | “Colostrum is a yellowish-fluid that is present for 2 to 3 days.” |
5) | “Colostrum decreases the risk of dehydration.” |
____ 22. Which nursing intervention assists a mother who has inverted nipples and wants to breastfeed? (Select all that apply.)
1) | Consult a lactation specialist. |
2) | Refer the mother to WIC. |
3) | Offer a breast pump. |
4) | Offer a breast shield. |
5) | Offer formula and bottle feedings. |
____ 23. A mother is at the infant’s 2-week follow-up and expresses to the nurse that she has sore nipples from breastfeeding. What suggestions should the nurse offer? (Select all that apply.)
1) | Change nursing pads often. |
2) | Expose the nipple to air. |
3) | When the infant is finished breastfeeding, pull the infant off the nipple. |
4) | Massage breast milk into the nipple. |
5) | Apply lanolin topically to irritated skin. |
____ 24. A nurse is discussing engorgement with a breastfeeding mother. Which suggestion can the nurse offer to ease the discomfort? (Select all that apply.)
1) | Encourage the mother to breastfeed every 2 ½ hours when the baby is awake. |
2) | Offer a warm cloth and express milk by hand. |
3) | Ensure proper latch-on of the infant. |
4) | Restrict fluid intake. |
5) | Apply a cool compress. |
____ 25. A nursing mother asks the nurse about common breastfeeding positions. What positions should the nurse offer to the mother? (Select all that apply.)
1) | Cradle hold position |
2) | Football hold position |
3) | Side-lying position |
4) | Supine position |
5) | Prone position |
Chapter 16: Newborn Nutrition
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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