A nurse is providing teaching to a client who gave birth 8 hr ago and is exclusively breastfeeding. Which of the following information should the nurse include?
"Avoid eating seafood to minimize risk to the newborn.”
“Wait 1 hour to breastfeed after consuming alcohol."
"Consume additional calories each day to support milk production.”
"Caffeine slowly enters breast milk after maternal consumption."
The Correct Answer is C
A. Avoid eating seafood to minimize risk to the newborn: Seafood contains important nutrients like omega-3 fatty acids that support infant brain development; moderate consumption of low-mercury seafood is generally safe and encouraged during breastfeeding.
B. Wait 1 hour to breastfeed after consuming alcohol: Alcohol peaks in breast milk approximately 30 to 60 minutes after consumption; waiting only 1 hour may not be sufficient to prevent infant exposure depending on the amount consumed.
C. Consume additional calories each day to support milk production: Breastfeeding increases a mother’s energy needs by about 450 to 500 calories per day, so additional caloric intake is necessary to maintain adequate milk supply and support maternal health.
D. Caffeine slowly enters breast milk after maternal consumption: Caffeine passes into breast milk relatively quickly, usually within 30 to 60 minutes after ingestion, so it does not enter slowly but rather fairly rapidly after consumption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Insert the oral thermometer in front of the infant's tongue: Oral temperature is not recommended for infants due to the risk of injury and difficulty keeping the thermometer in place.
B. Place the tip of the thermometer under the center of the infant's axilla: The axillary route is safe and appropriate for infants. Ensuring the tip is in full contact with the skin in the center of the axilla ensures a more accurate reading.
C. Pull the pinna of the infant's ear forward before inserting the probe: For infants under 3 years, the pinna should be pulled down and back to straighten the ear canal, not forward.
D. Insert the probe 3.8 cm (1.5 in) into the infant's rectum: This depth is excessive for an infant; rectal insertion should be only about 1.3 to 2.5 cm (0.5 to 1 in) to avoid rectal trauma.
Correct Answer is B
Explanation
A. A 25-gauge needle: This needle is too small and inappropriate for accessing a venous access port. It also risks damaging the port septum and does not allow for adequate flow during infusions.
B. A noncoring needle: A noncoring (Huber) needle is specifically designed for accessing implanted ports. Its design prevents damage to the port’s septum and allows for repeated, safe access without compromising integrity.
C. A butterfly needle: Butterfly needles are intended for short-term peripheral venous access and are not designed for port access. Using one could damage the port or increase infection risk.
D. An angiocatheter: Angiocatheters are used for peripheral IV access, not for implanted ports. They do not have the correct tip design to safely access the septum of a port without causing damage.
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