A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?
"Supplement breastfeedings with water every 12 hours."
"Limit the time your infant feeds to 10 minutes on each breast."
"Begin each feeding using the same breast."
"Offer your infant the breast when he shows signs of hunger."
The Correct Answer is D
Rationale:
A. "Supplement breastfeedings with water every 12 hours.": Breastfed infants do not require water supplementation because breast milk provides adequate hydration. Giving water can reduce milk intake, interfere with nutrition, and increase the risk of electrolyte imbalance.
B. "Limit the time your infant feeds to 10 minutes on each breast.": Feeding duration should be guided by the infant’s cues rather than a strict time limit. Limiting feeds can prevent the infant from receiving the hindmilk, which is richer in fat and essential for growth.
C. "Begin each feeding using the same breast.": Alternating the starting breast for each feeding helps ensure equal stimulation and milk production in both breasts. Starting with the same breast consistently may lead to uneven milk supply.
D. "Offer your infant the breast when he shows signs of hunger.": Responsive, cue-based feeding supports adequate nutrition, growth, and bonding. Feeding on demand—such as rooting, sucking on hands, or fussiness—helps establish and maintain milk supply and meets the infant’s needs effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"}}
Explanation
Rationale:
• Polyhydramnios: Excess amniotic fluid stretches the uterus, increasing the risk of uterine atony postpartum because the uterine muscle fibers are overly distended and cannot contract effectively.
• High parity: Multiple prior pregnancies weaken uterine muscle tone over time, predisposing the client to uterine atony after delivery, as the uterus may not contract adequately to control bleeding.
• Prolonged rupture of membranes: Extended rupture (over 24 hours) increases the risk of ascending infections such as chorioamnionitis or endometritis, as the protective barrier of the amniotic sac is compromised.
• Prenatal anemia: Although anemia does not directly cause infection, it reflects a reduced physiological reserve and may predispose the client to infection complications due to decreased oxygen delivery and impaired immune response.
Correct Answer is C
Explanation
Rationale:
A. Guide the client by walking parallel with them: Clients with visual impairment should be guided by walking slightly ahead of them, allowing them to hold the nurse’s arm and follow safely. Walking parallel can limit spatial awareness and increase the risk of collision or falls.
B. Rearrange clients bedside table items frequently: Frequently moving personal items can confuse a client with reduced vision and increase the risk of injury. Maintaining a consistent environment promotes independence and safety.
C. Remove objects from client's path to the bathroom: Clearing pathways reduces the risk of trips and falls, which is essential for clients with impaired vision. Ensuring a clutter-free environment is a key safety intervention in the plan of care.
D. Use a loud tone of voice when speaking with the client: A louder voice is unnecessary unless the client has a hearing impairment. Communication should focus on clear, descriptive verbal guidance rather than volume, emphasizing orientation and safety.
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