Question 1

A mother who is breastfeeding expresses concern about whether her infant is getting enough milk. Which concrete indicator does the nurse provide to the mother?

Accepted Answer

A concrete indicator that the infant is getting enough milk is having at least eight wet diapers and several stools per day, which reflects adequate intake and digestion.

Question 2

The nurse is collecting information from a parent whose infant has frequent diaper dermatitis. Which comment by the parent indicates a possible cause of the condition? Select all that apply.

Accepted Answer

B

Question 3

The nurse is concerned about the number of infants in the community who die from SIDS even with teaching about "back to sleep" being provided. On which additional preventive measures will the nurse focus? Select all that apply.

Accepted Answer

Each of these options addresses known risk factors or preventive measures related to Sudden Infant Death Syndrome (SIDS). A) Maternal smoking, alcohol, and drug use during pregnancy are risk factors for SIDS. B) Overheating is a risk factor for SIDS, so infants should be dressed appropriately for the sleep environment. C) Breastfeeding has been shown to reduce the risk of SIDS. D) Exposure to secondhand smoke increases the risk of SIDS. E) Products claiming to reduce the risk of SIDS may not be effective and could potentially increase the risk if they interfere with safe sleep practices.

Question 4

A patient in the second trimester of pregnancy is discussing breastfeeding and other options with the nurse. Which question is most important for the nurses to ask?

Accepted Answer

The answer of A patient in the second trimester of...

Question 5

The nurse is collecting information from a new mother who is bottle-feeding her infant. Which comment, if made by the mother, requires the nurse to provide patient teaching?

Accepted Answer

Adding water to formula can dilute the nutrients and cause harm to the baby. The nurse should provide education on the proper preparation of formula and the consequences of adding water to it.

Question 6

The nurse is teaching new parents about the Period of PURPLE Crying Program aimed at the prevention of shaken baby syndrome. At the end of the program, the nurse evaluates the program successful if parents select which fact? Select all that apply.

Accepted Answer

These three facts are all key points of the Period of PURPLE Crying Program. They help parents understand that crying is a normal part of infant development, and that it can be frustrating and exhausting for both the baby and the parents. By knowing that a baby may cry for extended periods of time, particularly in the late afternoon and evening, parents can be better prepared to cope with these challenges without resorting to shaking or other forms of abuse. The fact that a crying baby may look to be in pain, even when he or she is not, is also important because it can help parents avoid the mistaken belief that their baby is sick or suffering from a serious condition that requires medical intervention. By recognizing that crying is a normal behavior, parents can focus on soothing and comforting their baby in safe and gentle ways.

Question 7

The nurse is teaching the mother of a neonate the benefits of kangaroo care. Which action is explained to the mother regarding the procedure?

Accepted Answer

Kangaroo care involves holding a bare-chested neonate against a bare-chested parent, providing skin-to-skin contact, warmth, and breast milk stimulation, which have been shown to have many benefits for neonatal health and development. Option A, tucking the neonate into the front of a parent's shirt, is not specifically kangaroo care because it would not provide skin-to-skin contact. Option C, forming a pouch from a blanket, and option D, placing the neonate in a sling, are not the usual methods for kangaroo care.

Question 8

A new mother expresses severe frustration with an infant that is exhibiting symptoms of colic. Which suggestions from the nurse are aimed at infant safety? Select all that apply.

Accepted Answer

The answer of A new mother expresses severe frustration with...

Question 9

The postpartum nurse-manager wants the unit to become active as a supporter of the Baby-Friendly Hospital Initiative. Which nursing actions will be initiated? Select all that apply.

Accepted Answer

B) Helping mothers initiate breastfeeding within 1 hour of birth is one of the Ten Steps to Successful Breastfeeding in the Baby-Friendly Hospital Initiative. This step supports the establishment of breastfeeding and has been associated with increased breastfeeding rates.

C) Teaching breastfeeding and promoting lactation to mothers separated from their infants is another important step in the initiative. Nurses can provide education and support to help mothers establish a successful breastfeeding relationship.

D) Referring mothers to support group resources on discharge is also important for the continuation of successful breastfeeding. Support groups can provide encouragement, education, and assistance with any challenges that may arise.

Question 10

A patient in the first stage of pregnancy is discussing the options for feeding her infant, and asks the nurse, "Which is the most important reason I should consider breastfeeding my baby?" Which is the most significant reason the nurse presents?

Accepted Answer

The most significant reason to consider breastfeeding is that human milk contains multiple antibodies, enzymes, and immune factors that provide important benefits for the baby's immune system and overall health. While the other options presented may also be true, they are not as significant as the immune factors found in breast milk.

Question 11

A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide?

Accepted Answer

Breast milk can be kept in a deep freezer for 6 to 12 months, so this option is correct. Option A is incorrect as breast milk should not be defrosted in a microwave, as it can destroy some of the nutrients and create hot spots which can burn baby's mouth. Option C is incorrect as the freezer door shelf is the warmest part of the freezer and is not recommended for storing breast milk. Option D is incorrect as breast milk can also be frozen in glass containers or silicone bags designed for breast milk storage.

Question 12

The postpartum nurse is preparing to present infant care information to a couple who expresses concern about when to bathe their newborn. Which behaviors will the nurse present as general guidelines? Select all that apply.

Accepted Answer

The guidelines for bathing a newborn include not bathing daily with soap, using a mild, preservative-free soap with a neutral pH, avoiding soap on the face, and cleaning the genital and rectal areas at each diaper change. Bathing after a feeding when the newborn is relaxed is a helpful tip, but not a general guideline for bathing a newborn.

Question 13

Which information is important for the nurse to provide to mothers of infants of 3 months of age regardless of the method of infant feeding?

Accepted Answer

Providing information about growth spurts and dietary increases helps mothers understand their baby's feeding patterns and ensures that they are meeting their nutritional needs. While information about breastfeeding and solid foods is important, it may not be applicable to all mothers regardless of their method of infant feeding. Information about babies preferring food over milk is not necessarily relevant or helpful to mothers of 3-month-old infants.

Question 14

The nurse is teaching newborn care to an adolescent mother. When the nurse attempts to teach how to swaddle the newborn, the mother states, "What's the big deal about how to wrap up a baby?" The nurse needs to convey which reason as being most important for proper swaddling?

Accepted Answer

Improper swaddling, especially if done too tightly around the baby's legs, can lead to hip dysplasia by restricting the movement of the hips, which can impede proper hip development.

Question 15

The parents of a newborn male are concerned about providing care for the baby's new circumcision performed with a Plastibell. Which information will the nurse include in the teaching plan for the parents?

Accepted Answer

The nurse should instruct the parents to report signs of infection such as redness, warmth, swelling, or drainage at the surgical site. These symptoms could indicate an infection that requires medical attention.

Question 16

The nurse is preparing to teach a class on the benefits of breastfeeding for infants. Which benefits will the nurse include in the presentation? Select all that apply.

Accepted Answer

The answer of The nurse is preparing to teach a...

Question 17

The postnatal nurse is making a newborn visit to the parents who are from a different country. The nurse finds the newborn swaddled in a heavy blanket and wearing a knitted cap. The newborn has wet hair and is restless with rapid breathing. Which initial comment from the nurse is appropriate?

Accepted Answer

This response allows the nurse to gather information about the family's cultural beliefs and practices regarding newborn care. This helps the nurse understand why the baby is swaddled and wearing a cap and how the family may respond to the nurse's recommendations. It also allows the nurse to approach the conversation with respect and cultural sensitivity.

Question 18

The lactation nurse visits the room of a patient who is postpartum and being prepared for discharge. The nurse plans to provide breastfeeding information aimed at assisting the patient to continue breastfeeding her newborn. Which observation by the nurse indicates a possible disruption to the planned teaching?

Accepted Answer

The answer of The lactation nurse visits the room of...

Question 19

A mother who is 2 weeks postpartum asks the nurse lactation specialist how she knows if her baby is hungry. Which hunger indicator does the nurse discuss?

Accepted Answer

Opening the mouth in response to tactile stimulation is a sign of hunger in newborns, as it indicates readiness to feed. Crying when all other physical needs are met is a sign of hunger, but it may not be the first cue and indicates that the baby is already quite hungry. Timing of feeding (2 to 3 hours) may not be a reliable indicator as newborns may cluster feed or have longer or shorter intervals between feedings. The let-down sensation in the mother’s breast is not necessarily an indicator of the baby’s hunger.

Quiz 16: Discharge Planning and Teaching