The Type of surgery that was performed. Show 1. Women who have breast augmentation surgery have a higher incidence of insufficient milk supply. The effect on milk supply depends on the type of incision, cutting the nerves to the nipple-areolar area, the implant type and placement, and any surgical complications. Breast size increases with pregnancy. Consequently, women requesting breast augmentation prior to becoming pregnant, must be counseled on the possible effect of the surgery causing decreased milk supply when lactating in the future. 2. Breast biopsies have no effect on breastfeeding ability. 3. Women who have had breast reduction surgery may breastfeed successfully depending upon the type of surgery, how much of the breast tissue was removed, and whether lactiferous ducts were cut. 4. Women who are breastfeeding and have had breast reduction surgery should have close monitoring of their infant's weight gain in the first couple of weeks to make sure that they are producing an adequate milk supply. 5. For women who have had other breast surgeries you need to know the extent of the surgery and what was done in order to determine if this will have an effect on their ability to breastfeed their children. 6. Breastfeeding an infant from breasts with silicon implants in place appears to have no harmful effects on the infant. 1,2,4,5 Test-Taking Tip: Come to your test prep with a positive attitude about yourself, your nursing knowledge, and your test-taking abilities. A positive attitude is achieved through self-confidence gained by effective study. This means (a) answering questions (assessment), (b) organizing study time (planning), (c) reading and further study (implementation), and (d) answering questions (evaluation). 3 Test-Taking Tip: Practicing a few relaxation techniques may prove helpful on the day of an examination. Relaxation techniques such as deep breathing, imagery, head rolling, shoulder shrugging, rotating and stretching of the neck, leg lifts, and heel lifts with feet flat on the floor can effectively reduce tension while causing little or no distraction to those around you. It is recommended that you practice one or two of these techniques intermittently to avoid becoming tense. The more anxious and tense you become, the longer it will take you to relax. 1 Test-Taking Tip: Practicing a few relaxation techniques may prove helpful on the day of an examination. Relaxation techniques such as deep breathing, imagery, head rolling, shoulder shrugging, rotating and stretching of the neck, leg lifts, and heel lifts with feet flat on the floor can effectively reduce tension while causing little or no distraction to those around you. It is recommended that you practice one or two of these techniques intermittently to avoid becoming tense. The more anxious and tense you become, the longer it will take you to relax. 1) A nurse is evaluating the diet plan of a breastfeeding mother. Which beverage is most likely to cause intolerance in the infant? A) Orange juice Answer: B Explanation: Page Ref: 723 2) The nurse is caring for a premature infant in the NICU, and is going to attempt a bottle feeding with thawed breast milk. How long can thawed breast milk be stored in the refrigerator before the nurse must discard it? A) 4 hours Answer: D Explanation: Page Ref: 740 3) The nurse is teaching a prenatal class about feeding methods. A father-to-be asks the nurse which method, breast or formula, leads to the fastest infant growth and weight gain. Which response by the nurse is best? A) "In the first 3 to 4 months breastfed babies tend to gain weight faster." Answer: A Explanation: Page Ref: 720 4) The community nurse is working with poor women who are formula-feeding their infants. Which statement indicates that the nurse's education session was effective? A) "I should use only soy-based formula for the first year." Answer: B Explanation: Page Ref: 744 5) What is the primary carbohydrate in mammalian milk that plays a crucial role in the nourishment of the newborn? A)
Colostrum Answer: B Explanation: Page Ref: 726 6) The nurse knows that in some cases, breastfeeding is not advisable. Which mother should be counseled against breastfeeding? A) A mother with a poorly balanced diet Answer: C Explanation: Page Ref: 730 7) Which statements by a breastfeeding class participant indicate that teaching by the nurse was effective? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Answer: A, B, E Explanation: Page Ref: 740 8) A client at 20 weeks' gestation has not decided on a feeding method for her infant. She asks the nurse for advice. The nurse presents information about the advantages and disadvantages of formula-feeding and breastfeeding. Which statements by the client indicate that the teaching was successful? A)
"Formula-feeding gives the baby protection from infections." Answer: D Explanation: Page Ref: 726 9) Which of the following are potential disadvantages to breastfeeding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Answer: A, B, E Explanation: Page Ref: 728 10) What should the healthcare provider consider when prescribing a medication to a woman who is breastfeeding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Answer: C, D, E Explanation: Page Ref: 730 11) The nurse is teaching a new mother how to encourage a sleepy baby to breastfeed. Which of the following instructions would not be included in that teaching? A) Providing skin-to-skin contact Answer: B Explanation: Page Ref: 742 12) A mother states that her breasts leak between feedings. Which of the following can contribute to the letdown reflex in breastfeeding mothers? A) Pain with breastfeeding Answer: C Explanation: Page Ref: 728 13) When a breastfeeding mother complains that her breasts are leaking milk, the nurse can offer which effective intervention? A) Decrease the number of minutes the newborn is at the breast per feeding. Answer: C Explanation: Page Ref: 728 14) When is breastfeeding contraindicated? A) Infant has hypertension Answer: C Explanation: Page Ref: 730 15) Which of the following functions primarily to provide low-income women and children who are at risk for medical or nutritional problems with nutritious foods to supplement their diets, nutrition education and counseling, and screening and referrals to other health, welfare, and social programs? A) ABM Answer: B Explanation: Page Ref: 747 16) The nurse is performing an assessment on an infant whose mother states that she feeds the infant in a supine position by propping the bottle. Based on this information, what would the nurse include in the assessment? A) Otoscopic exam of the eardrum Answer: A Explanation: Page Ref: 745
17) The nurse is working with a new mother who delivered yesterday. The mother has chosen to breastfeed her infant. Which demonstration of skill is the best indicator that the client understands breastfeeding? A) She puts the infant to breast when he is asleep to help wake him up. Answer: B Explanation: Page Ref: 740 18) A new mother who is breastfeeding tells the nurse that her infant is spitting up frequently, has very loose stools and copious gas, and feeds for only short periods of time. The nurse suspects a feeding intolerance and, after questioning the mother about her diet, suggests that she do which of the following? A) Stop breastfeeding and switch to formula. Answer: B Explanation: Page Ref: 723 19) Which of the following is a sign of dehydration in the newborn? A) Slow, weak pulse Answer: D Explanation: Page Ref: 721 20) The nurse is assisting a mother to bottle-feed her newborn, who has been crying. The nurse suggests that prior to feeding, the mother should do which of the following? A) Offer a pacifier Answer: B Explanation: Page Ref: 745 21) The nurse is explaining the nutritional differences between breast milk and formula to an expectant couple. The mother-to-be asks whether breast milk is nutritionally superior to formula. What should the nurse reply? A) The vitamins and minerals in formula are more bioavailable to the infant. Answer: D Explanation: Page Ref: 722 22) The nurse is caring for a new breastfeeding mother who is from Pakistan. The nurse plans her care so that the newborn is offered the breast on which of the following? Answer: D D) Among some traditional cultures around the world, it is believed that colostrum is "unclean" or even harmful to a newborn. Because of this ancient belief, mothers living the Middle East and parts of Asia even today discard their colostrum or wait 2 to 4 days to begin breastfeeding, when their "true milk" arrives. This mother would begin breastfeeding on the third or fourth day after the birth. 23) The nurse is working with a client from Southeast Asia. The client tells the nurse that she should not put the baby to breast until her milk comes in and her breasts are warm, because "cold milk" (colostrum) is bad for the baby. After the nurse explains the benefits of colostrum, the client still insists that "cold milk" is bad. Which response by the nurse is best? A) "What kind of formula would you like to use?" Answer: D Explanation: Page Ref: 731 24) A client from Mexico has just delivered a son, and the nurse offers to assist in putting the baby to breast. Although the client indicated before the birth that she wanted to breastfeed, she is very hesitant, and says she would like to bottle-feed for the first few days. After talking to her, the nurse understands that her primary reason for wanting to delay breastfeeding is based on what cultural belief? A) Breast milk causes skin rashes. Answer: C Explanation: Page Ref: 731 25) The nurse is preparing a class on breastfeeding for pregnant women in their first trimester. The women are from a variety of cultural backgrounds, and all speak English well. Which statement should the nurse include in this presentation? A) "Although some cultures believe colostrum is not good for the baby, it provides protection from infections and helps the digestive system to function." Answer: A Explanation: Page Ref: 731 26) The nurse has completed a community education session on growth patterns of infants. Which statement by a participant indicates that additional teaching is needed? A) "Newborns should regain their birth weight by 1 week of age." Answer: A Explanation: Page Ref: 749 27) A nurse is evaluating the diet plan of a breastfeeding mother, and determines that her intake of fruits and vegetables is inadequate. The nurse explains that the nutritional composition of the mother's breast milk can be adversely affected by this nutritional inadequacy. Which strategy should the nurse recommend to the mother? A) Stop breastfeeding Answer: B Explanation: Page Ref: 722 28) The nurse encourages a new mother to feed the newborn as soon as the newborn shows interest. The nurse bases this recommendation on which benefits of early feedings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Answer: A, C, D Explanation: Page Ref: 740 29) The nurse is completing the discharge teaching of a young first-time mother. Which statement by the mother requires immediate intervention? A) "I will put my baby to bed with his bottle so he doesn't get hungry during the night." Answer: A Explanation: Page Ref: 745 30) A newborn weighs 7 lbs. 10 ounces at birth. What is the maximum number of calories that the nurse should instruct the mother that the baby needs to consume each day? (Calculate to the nearest whole number.) Answer: 400 calories Explanation: Page Ref: 720
31) During an educational session the nurse learns that legislation was written to support breastfeeding mothers. In which order did the titles of this legislation occur? 1. Establish standards for safe and effective breast pumps Answer: 5, 4, 1, 2, 3 Explanation: Page Ref: 729 32) The nurse is reviewing the process of pumping the breasts with a new mother. In which order should the nurse provide this information? 1. Fill glass or bottles 3/4 full Answer: 4, 2, 3, 5, 1 Explanation: Page Ref: 739 33) The nurse is reviewing the contents of breastmilk with a new mother. What amount of water should the nurse explain is in 8 ounces of breastmilk? Record your answer rounding to the nearest whole number. Answer: 7 ounces Explanation: Page Ref: 725 34) The nurse is demonstrating to a patient the proper steps for breastfeeding a newborn. Put these steps in the logical order that would assist the patient in placing the newborn to her breast. 1. Tickle the newborn's lips with the nipple. Answer: 5, 4, 1, 3, 2 Explanation: Page Ref: 736 35) A premature newborn is unable to suck at the breast. The nurse plans care for the mother, who is going to hand-express milk. Arrange the steps for milk expression in the correct order. 1. Roll the thumb and fingers simultaneously forward. Answer: 2, 4, 1, 3 Explanation: Page Ref: 739 Which is a contraindication to breastfeeding a newborn quizlet?Rationale: Breastfeeding is contraindicated when the newborn has galactosemia and must be fed lactose-free formula. If the mother has inverted nipples, a nipple shield can be worn during feedings to provide a larger area for the newborn to latch.
Which is a contraindication to breastfeeding a newborn?The only true contraindications to breastfeeding are the following: infants with classic galactosemia (galactose 1-phosphate uridyltransferase deficiency) mothers, in the US, who are infected with human immunodeficiency virus (HIV).
What are the 5 true contraindications to breastfeeding?Birth Defects.. Breast Surgery.. Coronavirus Disease (COVID-19). Ebola Virus Disease.. Food-borne and Waterborne Illness.. Hepatitis B or C Infections.. Herpes Simplex Virus (HSV). Which formulation are contraindicated in breastfeeding?Drugs contraindicated during breastfeeding include anticancer drugs, lithium, oral retinoids, iodine, amiodarone and gold salts. An understanding of the principles underlying the transfer into breast milk is important, as is an awareness of the potential adverse effects on the infant.
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