Maternal Child Nursing Care, 6th Edition Exam
Question and Answer
1. 1. A new mother recalls from prenatal class that she should try to
feed
her newborn daughter when she exhibits feeding readiness cues rather
than waiting until her infant is crying frantically. On the basis of
this information, this woman should feed her infant about every
2.5 to 3 hours when she correct answer:
a. waves her arms in the air.
b. makes sucking motions.
c. has hiccups.
d. stretches her legs out straight. correct answer: ANS correct answer: B
Sucking motions, rooting, mouthing, and hand-to-mouth motions are examples of feeding-readiness cues.
Waving the arms in the air, hiccupping, and stretching the legs out straight are not typical feeding-
readiness cues.
2. 2. A new father is ready to take his wife and newborn son
home. He proudly tells the nurse who is discharging them that
within the next week he plans to start feeding the infant cereal
between breastfeeding sessions. The nurse can explain to him that
beginning solid foods before 4 to 6 months may correct answer:
a. decrease the infant's intake of sufficient calories.
b. lead to early cessation of breastfeeding.
c. help the infant sleep through the night.
d. limit the infant's growth. correct answer: ANS correct answer: B
Introduction of solid foods before the infant is 4 to 6 months of age may result in overfeeding and
decreased intake of breast milk. It is not true that feeding of solids helps infants sleep through the
night. The proper balance of carbohydrate, protein, and fat for an infant to grow properly is in the
breast milk or formula.
,3. 3. A pregnant woman wants to breastfeed her infant; however, her
husband is not convinced that there are any scientific reasons to do
so. The nurse can give the couple printed information comparing
breastfeeding and bottle-feeding. Which statement is most
accurate? Bottle-feeding using commercially pre- pared infant
formulas correct answer:
a. increases the risk that the infant will develop allergies.
b. helps the infant sleep through the night.
c. ensures that the infant is getting iron in a form that is easily
absorbed.
d. requires that multivitamin supplements be given to the infant.
correct answer: ANS correct answer: A
Exposure to cow's milk poses a risk of developing allergies, eczema, and asthma. "Bottle-feeding using
commercially
, prepared infant formulas helps the infant sleep through the night" is a false statement. Iron is better
absorbed from breast milk than from formula. Commercial formulas are designed to meet the nutritional
needs of the infant and resemble breast milk.
4. 4. A after birth woman telephones about her 4-day-old infant.
She is not scheduled for a weight check until the infant is 10 days
old, and she is worried about whether breastfeeding is going well.
Effective breastfeeding is indicated by the newborn who correct
answer:
a. sleeps for 6 hours at a time between feedings.
b. has at least one breast milk stool every 24 hours.
c. gains 1 to 2 ounces per week.
d. has at least 6 to 8 wet diapers per day. correct answer: ANS correct
answer: D
After day 4, when the mother's milk comes in, the infant should have 6 to 8 wet diapers every 24
hours. Sleeping for 6 hours between feedings is not an indication of whether the infant is breastfeeding
well. Typically infants sleep 2 to 4 hours between feedings, depending on whether they are being fed on
a 2- to 3-hour schedule or cluster fed. The infant should have a minimum of three bowel movements
in a 24-hour period.
Breastfed infants typically gain 15 to 30 g/day.
5. 5. A primiparous woman is delighted with her newborn son
and wants to begin breastfeeding as soon as possible. The nurse
can facilitate the infant's correct latch-on by helping the woman
hold the infant correct answer:
a. with his arms folded together over his chest.
b. curled up in a fetal position.
c. with his head cupped in her hand.
d. with his head and body in alignment. correct answer: ANS correct
answer: D
The infant's head and body should be in correct alignment with the mother and the breast during latch-
on and feeding. Holding the infant with his arms folded together over his chest, curled up in a fetal
position, or with his head cupped in her hand are not ideal positions to facilitate latch-on.