Inquire through: | Professional | Confidential Support
Chapter 16: Discharge Planning and
Teaching Verified and Updated Questions
and Answers (100% Correct Answers)
1. A nurse is making a home visit on the seventh postpartum day to assess a 23-year-
old primipara woman and her full-term, healthy baby. Breastfeeding is the method of
infant nutrition. The woman tells the nurse that she does not think her milk is good
because it looks very watery when she expresses a little before each feeding. The
nurse's best response is:
a. "This is normal. You only have to be concerned when your baby does not gain
weight."
b. "What types of foods are you eating? A lack of protein in the diet can cause watery
looking breast milk."
c. "How much fluid are you drinking while you are nursing your baby? Too much
fluid during the feeding session can dilute the breast milk."
d. "This is normal and is referred to as foremilk which is higher in water content.
Later in the feeding the fat content increases and the milk becomes richer in
appearance."
Answer: d. Correct. This provides an explanation for the consistency of the milk and
reassures the woman that the appearance of the milk is normal.
2. A postpartum woman, who gave birth 12 hours ago, is breastfeeding her baby. She
tells her nurse that she is concerned that her baby is not getting enough food since
her milk has not come in. The best response for this patient is:
a. "I understand your concern, but your baby will be okay until your milk comes in."
b. "Your baby seems content, so you should not worry about him getting enough to
eat."
c. "Milk normally comes in around the third day. Prior to that, he is getting colostrum
which is high in protein and immunoglobulins which are important for your baby's
health."
d. "You can bottle feed until your milk comes in."
Answer: c. This response provides information on the stages of milk production to
help the woman understand her newborn's nutritional needs
, Inquire through: | Professional | Confidential Support
3. Which of the following positions for breastfeeding is preferred for a 2-day post-
cesarean-birth woman?
a. Lying down on side
b. Sitting
c. Cradle
d. Cross-cradle
Answer: a. Having the woman lying on her side to breastfeed prevents pressure on
her abdomen and the pain that can result from the pressure.
4. Painful nipples are a major reason why women stop breastfeeding. A primary
intervention to decrease nipple irritation is:
a. Teaching proper techniques for latching-on and releasing of suction
b. Applying hot compresses to breast prior to feeding
c. Instructing woman to express colostrum or milk at the end of the feeding session
and rub it on her nipples
d. Air drying nipples for 10 minutes at the end of the feeding session
Answer: a. Correct. All of the answers are correct, but problems with latching-on are
a primary cause of nipple irritation.
5. The nurse is developing a discharge teaching plan for a 21-year-old first-time
mom. This was an unplanned pregnancy. She had a prolonged labor and an early
postpartum hemorrhage. The woman plans to breastfeed her baby. She plans to
return to work when her baby is 3 months old. Based on this information, the three
primary learning needs of this woman are:
a. Breastfeeding, bathing of the newborn, and infant safety
b. Breastfeeding, storage of milk, and nutrition
c. Breastfeeding, contraception, infant safety
d. Breastfeeding, storage of milk, and rest
Answer: b. Because this is the woman's first time breastfeeding and she plans to
return to work, it is important that she feels comfortable with her understanding of
Chapter 16: Discharge Planning and
Teaching Verified and Updated Questions
and Answers (100% Correct Answers)
1. A nurse is making a home visit on the seventh postpartum day to assess a 23-year-
old primipara woman and her full-term, healthy baby. Breastfeeding is the method of
infant nutrition. The woman tells the nurse that she does not think her milk is good
because it looks very watery when she expresses a little before each feeding. The
nurse's best response is:
a. "This is normal. You only have to be concerned when your baby does not gain
weight."
b. "What types of foods are you eating? A lack of protein in the diet can cause watery
looking breast milk."
c. "How much fluid are you drinking while you are nursing your baby? Too much
fluid during the feeding session can dilute the breast milk."
d. "This is normal and is referred to as foremilk which is higher in water content.
Later in the feeding the fat content increases and the milk becomes richer in
appearance."
Answer: d. Correct. This provides an explanation for the consistency of the milk and
reassures the woman that the appearance of the milk is normal.
2. A postpartum woman, who gave birth 12 hours ago, is breastfeeding her baby. She
tells her nurse that she is concerned that her baby is not getting enough food since
her milk has not come in. The best response for this patient is:
a. "I understand your concern, but your baby will be okay until your milk comes in."
b. "Your baby seems content, so you should not worry about him getting enough to
eat."
c. "Milk normally comes in around the third day. Prior to that, he is getting colostrum
which is high in protein and immunoglobulins which are important for your baby's
health."
d. "You can bottle feed until your milk comes in."
Answer: c. This response provides information on the stages of milk production to
help the woman understand her newborn's nutritional needs
, Inquire through: | Professional | Confidential Support
3. Which of the following positions for breastfeeding is preferred for a 2-day post-
cesarean-birth woman?
a. Lying down on side
b. Sitting
c. Cradle
d. Cross-cradle
Answer: a. Having the woman lying on her side to breastfeed prevents pressure on
her abdomen and the pain that can result from the pressure.
4. Painful nipples are a major reason why women stop breastfeeding. A primary
intervention to decrease nipple irritation is:
a. Teaching proper techniques for latching-on and releasing of suction
b. Applying hot compresses to breast prior to feeding
c. Instructing woman to express colostrum or milk at the end of the feeding session
and rub it on her nipples
d. Air drying nipples for 10 minutes at the end of the feeding session
Answer: a. Correct. All of the answers are correct, but problems with latching-on are
a primary cause of nipple irritation.
5. The nurse is developing a discharge teaching plan for a 21-year-old first-time
mom. This was an unplanned pregnancy. She had a prolonged labor and an early
postpartum hemorrhage. The woman plans to breastfeed her baby. She plans to
return to work when her baby is 3 months old. Based on this information, the three
primary learning needs of this woman are:
a. Breastfeeding, bathing of the newborn, and infant safety
b. Breastfeeding, storage of milk, and nutrition
c. Breastfeeding, contraception, infant safety
d. Breastfeeding, storage of milk, and rest
Answer: b. Because this is the woman's first time breastfeeding and she plans to
return to work, it is important that she feels comfortable with her understanding of
