Chapter 19 Maternal and Child Health Nursing 7th Edition

Chapter 19  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A pregnant patient in labor asks the nurse how soon the baby can be breastfed after delivery. What should the nurse respond to the patient?
A)
Immediately after birth
B)
After the infant is allowed to rest
C)
In 24 hours after her infant is given water
D)
Once the infant has a first feeding of formula
Ans:
A

Feedback:

Breastfeeding should begin as soon after birth as possible, ideally while the woman is still in the birthing room and while the infant is in the first reactivity period. Breastfeeding should not wait until the baby rests. Twenty-four hours is too long to wait to begin breastfeeding. Mixing breastfeeding and formula feeding is not recommended.

2.
The nurse is explaining the process of breast milk production with a patient pregnant with her first child. What should the nurse include when providing this teaching? (Select all that apply.)
A)
Breast milk is thin, yellow, and watery.
B)
For the first 3 to 4 days, the breast milk is colostrum.
C)
Uterine cramping is a contraindication to breastfeeding.
D)
True breast milk comes in by the 10th day after giving birth.
E)
Most mothers have breast milk by the first day after giving birth.
Ans:
B, D

Feedback:

For the first 3 to 4 days after delivery, the breast milk is colostrum. The consistency changes to true breast milk by the 10th postpartum day. Colostrum is thin, yellow, and watery. Uterine cramping occurs as a result of oxytocin released during breastfeeding and is not a contraindication to breastfeeding but an expected occurrence. Most mothers do not have breast milk by the first day after giving birth.

3.
During a home visit, the nurse learns that a new mother is experiencing breast engorgement. What should the nurse recommend to help alleviate this problem?
A)
Discontinuing breastfeeding for 24 hours
B)
Having her apply lanolin cream to each breast
C)
Encouraging her to continue regular breastfeeding
D)
Decreasing her fluid intake to below 500 ml per 24 hours
Ans:
C

Feedback:

A common suggestion to relieve breast engorgement is to empty the breasts of milk by having the infant suck more often or at least continue to suck as much as before. Breastfeeding should not be discontinued. Applying cream to the breasts will not help with engorgement. The mother does not need to be placed on a fluid restriction.

4.
A new mother is ambivalent about breastfeeding and agrees to do it for at least 3 months. What response should the nurse provide to the patient at this time that would support the 2020 National Health Goals?
A)
Breastfeeding helps the mother return to prepregnancy weight faster.
B)
Three months is the recommended time frame for the baby’s nutrition.
C)
Breast milk can be donated so that preterm infants can have additional nutrition.
D)
Six months to 1 year of age is the best time frame to support the baby’s growth needs.
Ans:
D

Feedback:

Six months to 1 year of age is one of the 2020 National Health Goals for breastfeeding. Although breastfeeding can help the mother return to prepregnancy weight, this is not a 2020 National Health Goal for breastfeeding. Three months is not the recommended time frame for the baby’s nutrition. Breast milk can be donated; however, this is not a 2020 National Health Goal for breastfeeding.

5.
A new mother is concerned that the baby is not going to receive enough calories from breast milk to grow. What should the nurse instruct the mother as the daily caloric requirements per pound of weight for a newborn?
A)
50 to 55
B)
100 to 120
C)
150 to 170
D)
200 to 225
Ans:
A

Feedback:

An infant up to 2 months of age requires 110 to 120 calories per kilogram of body weight or 50 to 55 kcal/lb every 24 hours to provide an adequate amount for maintenance and growth. The other choices are incorrect information.