You are in the postpartum unit where a Day two G1P1 Mother is working hard at breastfeeding her baby. She is concerned that the baby is fussy between feedings. The advice you would give her is:

Put baby to breast for non -nutritive sucking to calm baby

Give the baby pacifier

Put the baby in the nursery so mom can get some rest

Supplement with formula

Answer and Explanation

The Correct Answer is A

A) Put baby to breast for non-nutritive sucking to calm baby:
Non-nutritive sucking (sucking without feeding) is a natural way for babies to self-soothe. It can help calm a fussy infant and also promote bonding between mother and baby. This action also stimulates milk production in the mother. It's a safe and effective way to comfort the baby without introducing unnecessary interventions. Non-nutritive sucking can help regulate the baby's sucking reflexes and provide comfort until the next feeding.

B) Give the baby pacifier:
While pacifiers can help some babies self-soothe, they can interfere with breastfeeding, especially in the early days. Introducing a pacifier too soon may confuse the baby’s natural sucking pattern and affect the latch, which can impact breastfeeding success. It’s typically recommended to wait until breastfeeding is well-established, around 3-4 weeks, before introducing a pacifier.

C) Put the baby in the nursery so mom can get some rest:
While maternal rest is important, removing the baby from the mother's care in the early postpartum period may interfere with the breastfeeding process. Breastfeeding on demand is crucial for establishing a good milk supply, and keeping the baby close for frequent feedings (and comfort) will help with this. Encouraging rest is important, but it shouldn't come at the expense of bonding and feeding.

D) Supplement with formula:
There is no indication that the baby is not getting enough nutrition at this point. Fussy behavior between feedings is common in newborns and can be due to various factors such as the baby's need for comfort, a growth spurt, or a short interval between feedings. Supplementing with formula is not necessary unless there is a clear indication of inadequate milk supply or other medical concerns, which isn’t evident in this situation.

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Correct Answer is A

Explanation

The Babinski reflex is present in newborns and occurs when the sole of the foot is stroked from heel to toe. The infant's big toe dorsiflexes (moves upward) and the other toes fan out. This is a normal response in infants up to 12-24 months but is abnormal in older children and adults, where it may indicate neurological issues.

A. Manual Expression B. Massaging breast to bring milk to the nipple C. Using a nipple shield D. Keeping infant skin to skin

Correct Answer is A

Explanation

A) Manual Expression:
Manual expression is an excellent way to show a new mother that she does have milk or colostrum. By gently massaging and expressing the breast, the mother can see or feel the small amount of colostrum being released. This helps reassure her that milk production has begun, even if it’s not abundant right away. Colostrum is often produced in small amounts during the first few days postpartum, and learning how to express it can provide immediate visual confirmation that milk is available for the baby.

B) Massaging breast to bring milk to the nipple:
While massaging the breast can help facilitate the milk ejection reflex (let-down), it doesn’t necessarily show the mother that she has milk. The milk flow may not be immediately visible without manual expression. The process of massaging can help increase milk flow over time but is not the most effective way to demonstrate the presence of colostrum in the immediate postpartum period.

C) Using a nipple shield:
A nipple shield can sometimes be used to help babies latch more effectively if there are latch issues, but it won’t directly show the mother that she has milk or colostrum. In fact, frequent use of a nipple shield without proper latching technique can interfere with establishing breastfeeding. It’s more important to help the mother with proper latching and positioning, along with demonstrating manual expression.

D) Keeping infant skin to skin:
Skin-to-skin contact is incredibly beneficial for bonding and promoting breastfeeding, as it stimulates the release of oxytocin and encourages the baby to latch. However, it does not directly show the mother that she has milk or colostrum. While it can help initiate milk production, manual expression provides a more direct and immediate way to demonstrate that milk is available.

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You are in the postpartum unit where a Day two G1P1 Mother is working hard at breastfeeding her baby. She is concerned that the baby is fussy between feedings. The advice you would give her is:

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Naxlex Comprehensive Predictor Exams

When the infant's toes hyperextend and the big toe dorsiflexes when sole of foot is stroked. This Reflex is called

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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