A newborn is reported to have breastfed very well during the first successful feeding after birth.
The baby is now 4 hours old and has not had a second feeding.
The nurse would:
Advise the mother to stop nursing and offer formula.
Teach the mother to pump her breast.
Advise the mother to discuss this with the newborn's pediatrician.
Teach about newborn sleep and hunger patterns.
The Correct Answer is D
Choice A rationale
It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.
Choice B rationale
Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.
Choice C rationale
Consulting the pediatrician is not immediately necessary for this situation.
Choice D rationale
Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Conduction heat loss occurs when the newborn loses heat to a cooler object in direct contact, like a cold mattress or scale.
Choice B rationale
Evaporation heat loss happens when moisture on the skin evaporates, causing the baby to lose body heat.
Choice C rationale
Radiation heat loss occurs when heat is lost from the baby's body to a cooler surface not in direct contact, like a cold window.
Choice D rationale
Convection heat loss happens when cool air circulates around the baby, carrying heat away from the baby's body.
Correct Answer is A
Explanation
Choice A rationale: Oxytocin is the hormone responsible for the let-down reflex during breastfeeding. It is released from the posterior pituitary gland in response to the baby’s suckling. This hormone causes the milk ducts to contract and eject milk from the alveoli into the ducts, making it available for the baby.
Choice B rationale: Progesterone plays a role in preparing the breast tissue for lactation during pregnancy, but it does not directly trigger the let-down reflex.
Choice C rationale: Hindmilk is the milk produced later in a feeding session, which is richer in fat and calories. It is not a hormone and does not cause the let-down reflex.
Choice D rationale: Foremilk is the initial milk released during breastfeeding, which is higher in water content. It is also not a hormone and does not cause the let-down reflex.
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