A nurse is reinforcing discharge instructions with a postpartum client about breastfeeding.
Which of the following statements by the client indicates an understanding of the teaching?
"I will increase my intake of vitamin K.”.
"I will increase my potassium intake while breastfeeding.”.
"I will maintain the same caloric intake as during pregnancy.”.
"I will maintain adequate fluid intake to quench my thirst.”. . . .
The Correct Answer is D
Choice A rationale
While vitamin K is important for coagulation and is often supplemented in newborns, increasing maternal intake of vitamin K during breastfeeding is not a primary nutritional recommendation for the mother. The focus for maternal nutrition during lactation is generally on overall caloric and fluid intake, and specific macronutrients and micronutrients that support milk production.
Choice B rationale
While potassium is an essential electrolyte, and maintaining appropriate levels is crucial for overall health, there isn't a specific recommendation to significantly increase potassium intake beyond general dietary guidelines for a breastfeeding mother. The emphasis is typically on adequate fluid and overall balanced nutrition rather than targeted potassium supplementation for lactation.
Choice C rationale
Breastfeeding significantly increases a mother's energy expenditure due to the metabolic demands of milk production. Therefore, maintaining the same caloric intake as during pregnancy would be insufficient to meet these increased energy needs, potentially leading to maternal fatigue and weight loss. An increase of approximately 330-400 additional calories per day is typically recommended.
Choice D rationale
Adequate fluid intake is crucial for successful lactation. Breast milk is approximately 87% water, and the process of milk synthesis requires a substantial fluid volume. Maintaining adequate hydration, guided by thirst, ensures sufficient substrate for milk production and prevents maternal dehydration, which can negatively impact milk supply and overall well-being. .
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Chicken breast is a rich source of heme iron, which is highly bioavailable and easily absorbed by the body. During pregnancy, the increased maternal blood volume and fetal erythropoiesis significantly increase the demand for iron to support hemoglobin synthesis. Consuming iron-rich animal protein like chicken helps prevent iron-deficiency anemia, a common complication of gestation.
Choice B rationale
Carrots are a good source of beta-carotene, a precursor to vitamin A, and other vitamins and minerals. However, they are not a significant source of dietary iron. While a healthy part of a balanced diet, carrots would not be recommended as the best source for a client needing increased iron intake during pregnancy.
Choice C rationale
Feta cheese is a dairy product that is a good source of calcium and protein. However, dairy products generally contain minimal amounts of iron, and the calcium in dairy can actually inhibit the absorption of non-heme iron from other food sources if consumed simultaneously. Therefore, feta cheese is not an optimal choice for increasing iron intake.
Choice D rationale
Apples are a good source of dietary fiber and vitamin C, which can enhance the absorption of non-heme iron when consumed concurrently with iron-rich plant foods. However, apples themselves contain very little iron. Thus, while beneficial for overall nutrition, apples are not a primary source of iron for a client requiring increased intake.
Correct Answer is D
Explanation
Choice A rationale
Combined estrogen-progestin contraceptive pills typically regulate the menstrual cycle and can often lead to shorter, lighter periods, or even amenorrhea in some individuals, due to the suppression of endometrial proliferation. The synthetic hormones, estrogen and progestin, stabilize the endometrium, preventing excessive build-up and subsequent heavy bleeding.
Choice B rationale
Medroxyprogesterone acetate (Depo-Provera) is an injectable contraceptive that provides long-acting contraception. It is administered intramuscularly or subcutaneously, but the typical administration frequency is once every 3 months (13 weeks), not once per month. This extended duration of action is due to the sustained release of the progestin.
Choice C rationale
Diaphragms are reusable barrier contraceptive devices. While a single diaphragm can be used for several years, it typically needs to be replaced every 1 to 2 years, or sooner if there is a significant weight change (gain or loss of 10-15 pounds), or after pregnancy, to ensure proper fit and contraceptive efficacy.
Choice D rationale
Oral contraceptives, particularly those containing estrogen and progestin, have been shown to significantly reduce the risk of endometrial cancer. This protective effect is primarily attributed to the progestin component, which counteracts the proliferative effects of estrogen on the endometrium, thereby preventing hyperplasia and subsequent malignant transformation.
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