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A breastfeeding woman has been counseled on how to prevent engorgement.
Which of the following actions by the mother shows that the teaching was
effective?
1. She pumps her breasts after each feeding.
2. She feeds her baby every 2 to 3 hours.
3. She feeds her baby 10 minutes on each side.
4. She supplements each feeding with formula.
2
Clients are not recommended to pump their breasts after feedings unless
there is a specific reason to do so.This statement is true. The best way to prevent
engorgement is to feed the baby every 2 to 3 hours.
Clients should not restrict babies' feeding times. Babies feed at different rates.
Babies
themselves, therefore, should regulate the amount of time they need to complete
their feeds.
Clients are not recommended to supplement with formula unless there is a
specific reason to do so.
,A 2-day-postpartum breastfeeding woman states, "I am sick of being fat. When
can I go on a diet?" Which of the following responses is appropriate?
1. "It is fine for you to start dieting right now as long as you drink plenty of milk."
2. "Your breast milk will be low in vitamins if you start to diet while breastfeeding."
3. "You must eat at least 3,000 calories per day in order to produce
enough milk for your baby."
4. "Many mothers lose weight when they breastfeed because the baby
consumes about 600 calories a day."
4
It is not recommended that breastfeeding mothers go on weight-reduction diets.
In addition, it is not necessary for mothers to drink milk to make breast milk.
When a breastfeeding woman has a poor diet, the quality of her breast milk
changes very little. In fact, if a mother consumes a poor diet, it is her own body
that will suffer. Mothers do not need to eat 3,000 calories a day while
breastfeeding.
Many mothers who consume approximately the same number of calories while
breastfeeding as they did when they were pregnant do lose weight while
breastfeeding.
A G2 P2002 who is postpartum 6 hours from a spontaneous vaginal delivery is
assessed. The nurse notes that the fundus is firm at the umbilicus, there is heavy
lochia rubra, and perineal sutures are intact. Which of the following actions
should the nurse take at this time?
1. Do nothing. This is a normal finding.
2. Massage the woman's fundus.
3. Take the woman to the bathroom to void.
4. Notify the woman's primary healthcare provider.
4
,A client informs the nurse that she intends to bottle feed her baby. Which of the
following actions should the nurse encourage the client to perform? Select all
that apply.
1. Increase her fluid intake for a few days.
2. Massage her breasts every 4 hours.
3. Apply heat packs to her axillae.
4. Wear a supportive bra 24 hours a day.
5. Stand with her back toward the shower water.
4 and 5 are correct.
It is unnecessary for a bottle-feeding mother to increase her fluid
intake. It is inadvisable for a bottle-feeding mother to massage
her breasts.
It is inadvisable for a bottle-feeding mother to apply heat to her breasts.
The mother should be advised to wear a supportive bra 24 hours a day for a
week or so. The mother should be advised to stand with her back toward the
warm shower water.
The nurse in the obstetric clinic received a telephone call from a bottle-
feeding mother of a 3-day-old. The client states that her breasts are firm, red,
and warm to the touch.
Which of the following is the best action for the nurse to advise the client to
perform?
1. Intermittently apply ice packs to her axillae and breasts.
2. Apply lanolin to her breasts and nipples every 3 hours.
3. Express milk from the breasts every 3 hours.
4. Ask the primary healthcare provider to order a milk suppressant.
1
, A multigravid, postpartum woman reports severe abdominal cramping
whenever she nurses her baby. Which of the following responses by the nurse
is appropriate?
1. Suggest that the woman bottle feed for a few days.
2. Instruct the patient on how to massage her fundus.
3. Instruct the patient to feed using an alternate position.
4. Discuss the action of breastfeeding hormones.
4
The nurse is caring for a breastfeeding mother who asks advice on foods that
will provide both vitamin A and iron. Which of the following should the nurse
recommend?
1. 1⁄2 cup raw celery dipped in 1 ounce cream cheese.
2. 8 ounces yogurt mixed with 1 medium banana.
3. 12 ounces strawberry milk shake.
4. 11⁄2 cups raw broccoli.
4
A breastfeeding mother states that she has sore nipples. In response to the
complaint, the nurse assists with "latch on" and recommends that the mother do
which of the following?
1. Use a nipple shield at each breastfeeding.
2. Cleanse the nipples with soap 3 times a day.
3. Rotate the baby's positions at each feed.
4. Bottle feed for 2 days then resume breastfeeding.
3