Chapter 29 Newborn Nutrition
1) A nurse is evaluating the diet plan of a breastfeeding mother. Which
beverage is most likely to cause intolerance in the infant?
1. Orange juice
2. Milk
3. Decaffeinated tea
4. Water
Answer: 2
Explanation: 2. Often fussy breastfeeding or cows milk-based formula-fed
infants are switched to a lactose-free formula because of concerns about lactose
intolerance.
Page Ref: 730
Cognitive Level: Analyzing
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: IX. 8.
Implement evidence-based nursing interventions as appropriate for managing
the acute and chronic care of patients and promoting health across the
lifespan. | NLN Competencies: Relationship-Centered Care: Factors that
contribute to or threaten health. | Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.1 Recognize maternal and newborn factors when assisting
parents in choosing an infant feeding method.
1
Copyright 2016 Pearson Education, Inc.
2) The nurse is caring for a premature infant in the NICU, and is going to
attempt a bottle feeding with thawed breast milk. How long can thawed
breast milk be stored in the refrigerator before the nurse must discard it?
1. 4 hours
,2. 8 hours
3. 12 hours
4. 24 hours
Answer: 4
Explanation: 4. Previously frozen thawed breast milk is good in the
refrigerator for 24 hours only.
Page Ref: 747
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection
Control
Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of
technology and standardized practices that support safety and quality. |
AACN Essentials Competencies: IX. 12. Create a safe environment that results
in high quality patient outcomes. | NLN Competencies: Quality and Safety: Use
technologies that contribute to safety. | Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.3 Examine the considerations of breastfeeding when caring for
the family with a newborn.
3) The nurse is teaching a prenatal class about feeding methods. A father-to- be
asks the nurse which method, breast or formula, leads to the fastest infant
growth and weight gain. Which response by the nurse is best?
1. In the first 3 to 4 months breastfed babies tend to gain weight faster.
2. In the first 3 to 4 months there is no difference in weight gain.
3. In the first 3 to 4 months bottle-fed babies grow faster.
4. In the first 3 to 4 months growth isnt as important as your comfort with the
method.
Answer: 1
Explanation: 1. Exclusively breastfed infants have the same or slightly higher
weight gain than their formula-fed and combination-fed peers in the first 3 to
,4 months.
Page Ref: 727, 728
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.1 Recognize maternal and newborn factors when assisting
parents in choosing an infant
2
Copyright 2016 Pearson Education, Inc.
feeding method.
4) The community nurse is working with poor women who are formula- feeding
their infants. Which statement indicates that the nurses education session was
effective?
1. I should use only soy-based formula for the first year.
2. I follow the instructions for mixing the powdered formula exactly.
3. It is okay to add more water to the formula to make it last longer.
4. The mixed formula can be left on the counter for a day.
Answer: 2
Explanation: 2. Powdered formula is the least expensive type of formula.
Parents will need to be briefed on safety precautions during formula preparation
and they should be instructed to follow the directions on the
, formula package label precisely as written.
Page Ref: 750
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection
Control
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.2 Examine the considerations of formula feeding when caring
for the family with a newborn.
5) What is the primary carbohydrate in mammalian milk that plays a crucial
role in the nourishment of the newborn?
1. Colostrum
2. Lactose
3. Lactoferrin
4. Secretory IgA
Answer: 2
Explanation: 2. Lactose is the primary carbohydrate in mammalian milk.
Page Ref: 729
Cognitive Level: Understanding
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: I. 3.
1) A nurse is evaluating the diet plan of a breastfeeding mother. Which
beverage is most likely to cause intolerance in the infant?
1. Orange juice
2. Milk
3. Decaffeinated tea
4. Water
Answer: 2
Explanation: 2. Often fussy breastfeeding or cows milk-based formula-fed
infants are switched to a lactose-free formula because of concerns about lactose
intolerance.
Page Ref: 730
Cognitive Level: Analyzing
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: IX. 8.
Implement evidence-based nursing interventions as appropriate for managing
the acute and chronic care of patients and promoting health across the
lifespan. | NLN Competencies: Relationship-Centered Care: Factors that
contribute to or threaten health. | Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.1 Recognize maternal and newborn factors when assisting
parents in choosing an infant feeding method.
1
Copyright 2016 Pearson Education, Inc.
2) The nurse is caring for a premature infant in the NICU, and is going to
attempt a bottle feeding with thawed breast milk. How long can thawed
breast milk be stored in the refrigerator before the nurse must discard it?
1. 4 hours
,2. 8 hours
3. 12 hours
4. 24 hours
Answer: 4
Explanation: 4. Previously frozen thawed breast milk is good in the
refrigerator for 24 hours only.
Page Ref: 747
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection
Control
Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of
technology and standardized practices that support safety and quality. |
AACN Essentials Competencies: IX. 12. Create a safe environment that results
in high quality patient outcomes. | NLN Competencies: Quality and Safety: Use
technologies that contribute to safety. | Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.3 Examine the considerations of breastfeeding when caring for
the family with a newborn.
3) The nurse is teaching a prenatal class about feeding methods. A father-to- be
asks the nurse which method, breast or formula, leads to the fastest infant
growth and weight gain. Which response by the nurse is best?
1. In the first 3 to 4 months breastfed babies tend to gain weight faster.
2. In the first 3 to 4 months there is no difference in weight gain.
3. In the first 3 to 4 months bottle-fed babies grow faster.
4. In the first 3 to 4 months growth isnt as important as your comfort with the
method.
Answer: 1
Explanation: 1. Exclusively breastfed infants have the same or slightly higher
weight gain than their formula-fed and combination-fed peers in the first 3 to
,4 months.
Page Ref: 727, 728
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.1 Recognize maternal and newborn factors when assisting
parents in choosing an infant
2
Copyright 2016 Pearson Education, Inc.
feeding method.
4) The community nurse is working with poor women who are formula- feeding
their infants. Which statement indicates that the nurses education session was
effective?
1. I should use only soy-based formula for the first year.
2. I follow the instructions for mixing the powdered formula exactly.
3. It is okay to add more water to the formula to make it last longer.
4. The mixed formula can be left on the counter for a day.
Answer: 2
Explanation: 2. Powdered formula is the least expensive type of formula.
Parents will need to be briefed on safety precautions during formula preparation
and they should be instructed to follow the directions on the
, formula package label precisely as written.
Page Ref: 750
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection
Control
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2 Explain the advantages and disadvantages of
breastfeeding and formula-feeding in determining the nursing care of both
mother/family and newborn.
MNL LO: 4.4.2 Examine the considerations of formula feeding when caring
for the family with a newborn.
5) What is the primary carbohydrate in mammalian milk that plays a crucial
role in the nourishment of the newborn?
1. Colostrum
2. Lactose
3. Lactoferrin
4. Secretory IgA
Answer: 2
Explanation: 2. Lactose is the primary carbohydrate in mammalian milk.
Page Ref: 729
Cognitive Level: Understanding
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: I. 3.
