Chapter 22 Infant Feeding

Chapter 22  Infant Feeding

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The breastfeeding client should be taught a safe method to remove her breast from the baby’s mouth. Which suggestion by the nurse is most appropriate?
a.
Break the suction by inserting your finger into the corner of the infant’s mouth.
b.
A popping sound occurs when the breast is correctly removed from the infant’s mouth.
c.
Slowly remove the breast from the baby’s mouth when the infant has fallen asleep and the jaws are relaxed.
d.
Elicit the Moro reflex in the baby to wake the baby up, and remove the breast when the baby cries.

ANS: A
Inserting a finger into the corner of the baby’s mouth between the gums to break the suction avoids trauma to the breast. A popping sound indicates improper removal of the breast from the baby’s mouth and may cause cracks or fissures in the breast. The infant who is sleeping may lose grasp on the nipple and areola, resulting in chewing on the nipple, making it sore. Most mothers prefer the infant to continue to sleep after the feeding. Gentle wake-up techniques are recommended.

PTS: 1 DIF: Cognitive Level: Application REF: 446
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Health Promotion and Maintenance

2. Which woman is most likely to continue breastfeeding beyond 6 months?
a.
A woman who avoids using bottles
b.
A woman who uses formula for every other feeding
c.
A woman who offers water or formula after breastfeeding
d.
A woman whose infant is satisfied for 4 hours after the feeding

ANS: A
Women who avoid using bottles and formula are more likely to continue breastfeeding.
Use of formula decreases breastfeeding time and decreases the production of prolactin and, ultimately, the milk supply. Overfeeding after breastfeeding causes a sense of fullness in the infant, so the infant will not be hungry in 2 to 3 hours. Formula takes longer to digest. The new breastfeeding mother needs to nurse often to stimulate milk production.

PTS: 1 DIF: Cognitive Level: Analysis REF: 453
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance

3. In which condition is breastfeeding contraindicated?
a.
Triplet birth
b.
Flat or inverted nipples
c.
Human immunodeficiency virus infection
d.
Inactive, previously treated tuberculosis

ANS: C
Human immunodeficiency virus is a serious illness that can be transmitted to the infant via body fluids. Because the amount of milk being produced depends on the amount of suckling of the breasts, providing enough milk should not be a problem. Nipple abnormality can begin to be treated during pregnancy but may begin after birth. Many methods help flat or inverted nipples to become more erect. Only active tuberculosis patients would be cautioned not to breastfeed.

PTS: 1 DIF: Cognitive Level: Understanding REF: 454
OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment

4. Which type of formula should not be diluted before being administered to an infant?
a.
Powdered
b.
Concentrated
c.
Ready to use
d.
Modified cow’s milk

ANS: C
Ready to use formula can be poured directly from the can into the baby’s bottle and is good (but expensive) when a proper water supply is not available. Formula should be well mixed to dissolve the powder and make it uniform. Improper dilution of concentrated formula may cause malnutrition or sodium imbalances. Cow’s milk is more difficult for the infant to digest and is not recommended, even if it is diluted.

PTS: 1 DIF: Cognitive Level: Understanding REF: 458
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance

5. How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?
a.
50 to 75
b.
100 to 110
c.
120 to 140
d.
150 to 200

ANS: B
The term newborn being fed with formula requires 100 to 110 kcal/kg to meet nutritional needs each day. 50 to 75 kcal/kg is too little and 120 to 140 kcal/kg and 150 to 200 kcal/kg are too much.

PTS: 1 DIF: Cognitive Level: Understanding REF: 436
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance