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.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale: An increase in breast milk production is a normal physiological response during breastfeeding and does not indicate mastitis.
Choice B rationale: Mastitis is an inflammation of the breast tissue, usually caused by infection. It commonly occurs in breastfeeding women and is characterized by redness, warmth, swelling, and pain in one breast. The affected breast may also be tender and sore to the touch.
Choice C rationale: Swelling in both breasts is a common occurrence during the early days of breastfeeding as the milk supply adjusts to the baby's needs. It is not specific to mastitis.
Choice D rationale: Cracked and bleeding nipples can be a result of improper latch or positioning during breastfeeding, but they are not specific to mastitis.
Correct Answer is B
Explanation
Choice A rationale:
Administering the hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is not the appropriate treatment for a newborn whose mother is positive for the hepatitis B surface antigen. Immediate intervention is required to prevent transmission.
Choice B rationale:
The newborn of a mother who is positive for the hepatitis B surface antigen should receive hepatitis B immune globulin (HBIG) and the hepatitis B vaccine within 12 hours of birth. HBIG provides passive immunity to the baby while the vaccine stimulates active immunity.
Choice C rationale:
Administering hepatitis B immune globulin for 1 week followed by the hepatitis B vaccine monthly for 6 months is not the correct treatment plan. Immediate intervention is necessary to prevent transmission to the newborn.
Choice D rationale:
Administering the hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days is not the appropriate treatment. Hepatitis B immune globulin should be given within 12 hours of birth, not over several days.
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