A nurse is conducting a prenatal course about breastfeeding to a group of clients who are pregnant. Which of the following information should the nurse include?
Avoid feeding the infant more than once every 3 hr.
Provide the newborn with 15 mL of sterile water each day.
Store expressed milk in the refrigerator for up to 7 days.
Feedings should begin within 1 hr after birth.
The Correct Answer is D
A. Avoid feeding the infant more than once every 3 hr: Newborns should be fed on demand, which typically occurs every 1-3 hours, but it can vary. Some babies may want to nurse more frequently, especially in the early days, for comfort or to stimulate milk production. Restricting feedings to a set time interval can hinder the infant's ability to receive enough nourishment.
B. Provide the newborn with 15 mL of sterile water each day: Breast milk or formula provides all the hydration and nutrition the infant needs. Offering water can interfere with the infant's intake of breast milk, which is essential for proper growth and development.
C. Store expressed milk in the refrigerator for up to 7 days: While expressed breast milk can be stored in the refrigerator, the recommended storage time is typically 3-5 days, not 7 days. Storing milk for longer periods may increase the risk of bacterial growth, which could compromise the milk's safety and quality.
D. Feedings should begin within 1 hour after birth: Initiating breastfeeding within the first hour after birth is critical for both mother and baby. Early initiation of breastfeeding helps establish a good milk supply, promotes bonding, and provides the newborn with colostrum, which is rich in antibodies and nutrients essential for the baby’s immune system and overall health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F","G"]
Explanation
A. "I should drink about 80 ounces of fluid per day." Adequate hydration is essential for clients with colostomies to prevent constipation and support optimal bowel function. A daily fluid intake of around 80 ounces helps maintain stool consistency and supports overall digestion.
B. "I should eat a source of protein at each meal and snack." Protein is vital for healing, tissue repair, and maintaining muscle mass following surgery. Including protein in meals and snacks supports recovery and meets increased metabolic demands postoperatively.
C. "I should chew my food thoroughly." Thorough chewing reduces the risk of large, undigested food particles entering the stoma, which can cause blockages. This practice promotes better digestion and safer colostomy management.
D. “I should take an over-the-counter antidiarrheal medication if my stools are semiliquid." Using antidiarrheal medication without provider direction may mask underlying complications or contribute to improper bowel regulation. Medical guidance is necessary before initiating any such treatment.
E. "I will have trouble digesting food due to the colostomy." A colostomy changes stool elimination but does not impair digestion or nutrient absorption. The digestive process remains largely intact unless there are additional gastrointestinal conditions.
F. “I should eat 4 to 6 small meals per day." Small, frequent meals promote steady digestion, reduce gas formation, and help clients maintain energy levels during recovery. This pattern is also easier to tolerate postoperatively.
G. "I should eat high-fiber foods." Fiber intake helps regulate bowel movements and promotes stool formation. High-fiber foods should be reintroduced gradually to prevent gas or blockage, especially in the early weeks post-surgery.
H. “I should eat nuts for the first 2 weeks following surgery as a source of fiber." Nuts are difficult to digest and may cause stoma blockage during the early recovery phase. Clients are advised to avoid hard or high-residue foods initially and introduce them gradually under provider supervision.
Correct Answer is A
Explanation
A. Grapefruit: Grapefruit inhibits the cytochrome P450 3A4 enzyme in the liver, which is responsible for metabolizing atorvastatin. When this enzyme is blocked, the levels of atorvastatin in the blood can rise increasing the risk of serious side effects such as muscle toxicity and liver damage. Clients taking statins should completely avoid grapefruit to ensure the medication is processed safely and effectively.
B. Coffee: Coffee does not interact with atorvastatin in a clinically significant way. While excessive caffeine intake can have other health implications, it does not affect the metabolism or effectiveness of atorvastatin. Clients with hyperlipidemia may still consume coffee in moderation unless otherwise advised based on other health conditions.
C. Milk: Milk does not interfere with atorvastatin's absorption or metabolism. It is safe to consume while on the medication. In fact, low-fat dairy products can be part of a heart-healthy diet aimed at lowering cholesterol, making milk an acceptable food choice for clients with hyperlipidemia.
D. Oatmeal: Oatmeal is beneficial for clients with hyperlipidemia because it contains soluble fiber, which helps to lower LDL (bad) cholesterol levels. There are no known interactions between oatmeal and atorvastatin. Including oatmeal in the diet supports the therapeutic goals of atorvastatin by promoting heart health.
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