Chapter 18 Newborn Nutrition and Feeding

Chapter 18  Newborn Nutrition and Feeding

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

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 2½ to 3 hours when she:
a.
Waves her arms in the air.
b.
Makes sucking motions.
c.
Has the hiccups.
d.
Stretches her legs out straight.

ANS: B

Feedback
A
Waving of the arms in the air is not a typical feeding-readiness cue.
B
Sucking motions, rooting, mouthing, and hand-to-mouth motions are examples of feeding-readiness cues.
C
Hiccups are not a typical feeding-readiness cue.
D
Stretching of the legs is not a typical feeding-readiness cue.

DIF: Cognitive Level: Comprehension REF: 538
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

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:
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.

ANS: B

Feedback
A
Introduction of solid foods before the infant is 4 to 6 months of age may result in overfeeding and decreased intake of breast milk.
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.
C
It is not true that feeding of solids helps infants sleep through the night.
D
Introduction of solid foods before the infant is 4 to 6 months of age may result in overfeeding. The proper balance of carbohydrate, protein, and fat for an infant to grow properly is in the breast milk or formula.

DIF: Cognitive Level: Application REF: 538
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Evaluation

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 true? Bottle-feeding using commercially prepared infant formulas:
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.

ANS: A

Feedback
A
Exposure to cow’s milk poses a risk of developing allergies, eczema, and asthma.
B
This is a false statement.
C
Iron is better absorbed from breast milk than from formula.
D
Commercial formulas are designed to meet the nutritional needs of the infant and resemble breast milk.

DIF: Cognitive Level: Application REF: 530
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Diagnosis

4. A postpartum 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:
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 six to eight wet diapers per day.

ANS: D

Feedback
A
This 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.
B
The infant should have a minimum of three bowel movements in a 24-hour period.
C
Breastfed infants typically gain 15 to 30 g/day.
D
After day 4, when the mother’s milk comes in, the infant should have six to eight wet diapers every 24 hours.

DIF: Cognitive Level: Comprehension REF: 542
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Evaluation

5. A breastfeeding woman develops engorged breasts at 3 days’ postpartum. What action would help this woman achieve her goal of reducing the engorgement? The woman:
a.
Skips feedings to let her sore breasts rest.
b.
Avoids using a breast pump.
c.
Breastfeeds her infant every 2 hours.
d.
Reduces her fluid intake for 24 hours.

ANS: C

Feedback
A
The mother should be instructed to attempt to feed her infant every 2 hours while massaging the breasts as the infant is feeding. Skipping feedings may cause further swelling and discomfort.
B
If the infant does not feed adequately and empty the breast, the mother may pump to extract the milk and relieve some of the discomfort.
C
The mother should be instructed to attempt feeding her infant every 2 hours while massaging the breasts as the infant is feeding.
D
Dehydration further irritates swollen breast tissue.

DIF: Cognitive Level: Comprehension REF: 551
OBJ: Client Needs: Physiologic Integrity
TOP: Nursing Process: Implementation