Chapter 23 Newborn Feeding

Chapter 23  Newborn Feeding

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The breastfeeding mother should be taught a safe method to remove the breast from the

baby’s mouth. Which suggestion by the nurse is most appropriate?
a. Slowly remove the breast from the baby’s mouth when the infant has fallen asleep

and the jaws are relaxed.
b. Break the suction by inserting your finger into the corner of the infant’s mouth.
c. A popping sound occurs when the breast is correctly removed from the infant’s

mouth.
d. Elicit the Moro reflex to wake the baby and remove the breast when the baby cries.

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

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 488 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

2. A pregnant woman wants to breastfeed her infant; however, her husband is not convinced

that there are any scientific reasons to do so. Which statement by the nurse 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
Breastfeeding is less likely to cause allergies. Newborns should be fed through the night
regardless of feeding method. Iron is better absorbed from breast milk than from formula.
Commercial formulas are designed to meet the nutritional needs of the infant and to
resemble breast milk. No supplements are necessary.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 482 | Box 23.2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity; Basic Care and Comfort

3. How can the nurse help the mother who is breastfeeding and has engorged breasts?

a. Suggest that she switch to bottled formula just for today.
b. Assist her in removing her bra, making her more comfortable.
c. Apply heat to her breasts between feeding and cold to the breasts just before

feedings.

d. Instruct and assist the mother to massage her breasts.

ANS: D
Massage of the breasts causes release of oxytocin and increases the speed of milk release.
Engorgement is more likely to increase if breastfeeding is delayed or infrequent. A
well-fitting bra should be worn both day and night to support the breasts. Cold applications
are used between feedings to reduce edema and pain. Heat is applied just before feedings to
increase vasodilation.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 492 OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity

4. A new mother recalls that she should feed her newborn when she exhibits feeding readiness

cues rather than waiting until her infant is crying frantically. Based on this information, this
woman should feed her infant when she
a. waves her arms in the air.
b. makes sucking motions.
c. has hiccups.
d. stretches out her legs straight.

ANS: B
Sucking motions, rooting, mouthing, and hand-to-mouth motions are examples of
feeding-readiness cues. The other observations are not feeding cues.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 485 | Box 23.3 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance

5. Which type of formula is not 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 baby’s bottle and is good
(but expensive) when a proper water supply is not available. Powdered and concentrated
formulas should be well mixed to dissolve the powder and make it uniform. 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: Knowledge/Remembering
REF: p. 496 OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity