A nurse is reinforcing teaching about dietary intake with a client who is breastfeeding her newborn. Which of the following information should the nurse include in the teaching?
"Increase your daily intake of folic acid."
"Consume 1500 calories per day."
"Decrease your daily intake of protein."
"Drink enough decaffeinated fluids to quench your thirst."
The Correct Answer is D
Choice A rationale: While folic acid is important during pregnancy, this statement is not specifically related to dietary intake for breastfeeding mothers. Adequate folic acid intake is essential during pregnancy to prevent neural tube defects in the developing fetus.
Choice B rationale: This statement does not provide enough information and may not be appropriate for all breastfeeding mothers. The caloric needs of breastfeeding mothers can vary depending on their individual metabolism, activity level, and nutritional status.
Choice C rationale: Breastfeeding mothers require adequate protein intake to support their own nutritional needs and the production of breast milk. Decreasing protein intake is not advisable and may lead to nutritional deficiencies.
Choice D rationale: Breastfeeding mothers need to stay well-hydrated to maintain an adequate milk supply and to support their own health. Drinking enough fluids, preferably decaffeinated, is essential for breastfeeding moms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Applying identification bands is an essential step in newborn care, but it is not the priority immediately after delivery. The nurse should first address the baby's physiological needs, such as drying and maintaining body temperature.
Choice B rationale: Assessing and documenting the Apgar score is important for evaluating the newborn's overall condition and response to delivery, but it is not the priority immediately after delivery.
Choice C rationale: Administering phytonadione (vitamin K) to prevent bleeding disorders in the newborn is essential, but it can be done after drying and stabilizing the baby's body temperature.
Choice D rationale: After ensuring a patent airway, the nurse's priority should be to dry the newborn. Drying the newborn is important for maintaining body temperature and preventing heat loss, especially during the immediate post-delivery period. Wet newborns can lose heat rapidly through evaporation, so drying the baby helps prevent hypothermia and stabilize the baby's body temperature.
Correct Answer is B
Explanation
Choice A rationale:
Maternal gestational diabetes can lead to the newborn being larger than average (macrosomia) due to the impact of high blood sugar levels in the mother affecting fetal growth.
Choice B rationale:
Newborn hypoglycemia isa common complication of maternal gestational diabetes due to the elevated insulin levels in the newborn at birth
Choice C rationale:
Oligohydramnios refers to decreased amniotic fluid, which can be a complication of various factors, but it is not directly related to maternal gestational diabetes.
Choice D rationale:
Placenta previa is a condition where the placenta partially or completely covers the cervix, which is unrelated to maternal gestational diabetes.
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