A nurse is providing teaching about breastfeeding to a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

"The purpose of alternating breasts during feedings is to promote comfort."

"During the first few weeks, I should nurse my baby every 4 hours."

"I need to supplement feedings with water once my baby is 4 months old."

"My baby will receive the most milk within the first 10 minutes of the feeding."

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Alternating breasts during feedings is not primarily done for comfort, but rather to ensure that the baby receives both foremilk and hindmilk from each breast. Foremilk is more watery and quenches thirst, while hindmilk is richer in fats and nutrients. This choice does not accurately reflect the purpose of alternating breasts.
Choice B rationale:
Newborns often need to nurse more frequently than every 4 hours, especially during the early weeks when their stomach capacity is small. Feeding every 2 to 3 hours is generally recommended to ensure they receive enough nourishment and to stimulate milk supply.
Choice C rationale:
Supplementing feedings with water is unnecessary and can even be harmful to a breastfeeding baby. Breast milk provides all the necessary hydration for the baby, and introducing water before the recommended age can lead to decreased milk intake and potential electrolyte imbalances.
Choice D rationale:
(Correct Choice) This statement indicates an understanding of breastfeeding dynamics. The baby receives the majority of the milk's volume within the first 10 minutes of breastfeeding. However, it's important to note that nursing beyond the initial 10 minutes allows the baby to access the richer hindmilk, which is important for their growth and satiety.

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Correct Answer is D

Explanation

Choice A rationale:
Cheddar cheese does not contain a significant amount of potassium. It is a dairy product that is richer in calcium and fat than in potassium.
Choice B rationale:
Raw tomato contains some potassium, but it's not as high as the other options. It's a good source of vitamins and antioxidants, but for hypokalemia, more potassium-rich options are better.
Choice C rationale:
Brown rice contains moderate levels of potassium, but it is not as high as the potassium content in a baked potato.
Choice D rationale:
One small baked potato is a great source of potassium. Potatoes are known for their high potassium content, making them suitable for individuals with hypokalemia, as potassium is essential for proper muscle and nerve function.

A. "I will dilute juice with 50 percent water to supplement between feedings." B. "I will begin and end with the same breast when I feed my baby." C. "I should feed my baby on demand at least eight times each day." D. "I should use pumped breast milk within 72 hours of refrigeration."

Correct Answer is A

Explanation

Choice A rationale:
Diluting juice with 50 percent water to supplement between feedings is not recommended for newborns. Newborns should primarily be receiving breast milk or formula to ensure proper nutrition. Offering diluted juice can lead to inadequate intake of essential nutrients and unnecessary exposure to sugar. It's important for the newborn's diet to be appropriate for their stage of development.
Choice B rationale:
Beginning and ending with the same breast during feeding sessions promotes effective breastfeeding and adequate milk supply. This approach ensures that the baby receives both the foremilk (low-fat milk that comes at the beginning of a feeding) and hindmilk (higher-fat milk that comes later in a feeding), which is important for proper nutrition and growth. This choice demonstrates an understanding of the principles of breastfeeding.
Choice C rationale:
Feeding the baby on demand at least eight times each day is a suitable recommendation. Newborns have small stomachs and need frequent feedings to meet their nutritional needs and support healthy growth. Feeding on demand helps establish a good milk supply and ensures that the baby gets enough milk to thrive.
Choice D rationale:
Using pumped breast milk within 72 hours of refrigeration is a correct statement. Breast milk can be refrigerated for a limited time while maintaining its nutritional quality. Using pumped milk within 72 hours helps minimize the risk of bacterial growth and ensures that the baby receives milk that's still rich in nutrients and antibodies.

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A nurse is providing teaching about breastfeeding to a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse select that contains the greatest amount of potassium?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to the mother of a newborn about breastfeeding. Which of the following statements by the client does not indicatean understanding of the teaching?

Correct Answer is A

Explanation

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