NUR114 CH18

The American Academy of Pediatrics (AAP) recommends breast milk only for the first ___ months of life and breast milk as ___.

T/F: The benefits of breast milk continue after weaning and extend beyond childhood.
True False

___ and ___ are called the mothering hormones because they affect the mother’s emotions as well as her physical state.

Feeding-readiness cues include ___ or ___ movements, ___, the ___, and ___.

The four basic positions for breastfeeding are the ___, ___, ___, and ___.

Newborns need to breastfeed ___ to ___ times a day.

Initially, preterm milk contains higher concentrations of ___ (8 things) than term milk.

T/F:Depending on gestational age and physical condition, many preterm infants can breastfeed for some of their daily feedings.
True False

Engorgement typically occurs ___ after birth and lasts ___.

The four main categories of infant formulas are ___, ___, ___, and ___.

The birth weight of a breastfed newborn was 8 pounds, 4 ounces. On the third day the newborn’s weight was 7 pounds, 12 ounces. On the basis of this finding, the nurse should:

A. Encourage the mother to continue breastfeeding because it is effective in meeting the newborn’s nutrient and fluid needs.
B. Notify the physician because the newborn is being poorly nourished.
C. Suggest that the mother switch to bottle-feeding because the breastfeeding is ineffective in meeting the newborn's needs for fluid and nutrients.
D. Refer the mother to a lactation consultant to improve her breastfeeding technique.

Which action of a breastfeeding mother indicates the need for further instruction?

A. Holds breast with four fingers along bottom and thumb at top
B .Leans forward to bring breast toward the baby
C. Stimulates the rooting reflex and then inserts nipple and areola into newborn’s open mouth
D. Puts her finger into newborn’s mouth before removing breast

T/F: Holding the breast with four fingers along the bottom and the thumb at top is a correct technique.
True False

T/F: Placing the finger in the mouth to remove the baby from the breast is correct technique.
True False

The nurse taught new parents the guidelines to follow regarding the bottle feeding of their newborn. They will be using formula from a can of concentrate. The parents would demonstrate an understanding of the nurse’s instructions if they:

A. Warm formula in a microwave oven for a couple of minutes prior to feeding.
B. Adjust the amount of water added according to weight gain pattern of the newborn.
C. Add some honey to sweeten the formula and make it more appealing to a fussy newborn.
D. Wash the top of the can and the can opener with soap and water before opening the can.

Benefits to the mother associated with breastfeeding include all except it:

A. Is an effective method of birth control.
B. May enhance postpartum weight loss.
C. Increases bone density.
D. Decreases risk of breast cancer.

T/F: Women who breastfeed display an increase in bone density.
True False

T/F: Women who breastfeed report a quicker weight loss postpartum.
True False

With regard to the special qualities of human breast milk, nurses should be aware that:

A. Frequent feedings during predictable growth spurts stimulate increased milk production.
B. The milk at the beginning of the feeding is the same as the milk at the end of the feeding.
C. Colostrum is an early, less concentrated, less rich version of mature milk.
D. The milk of preterm mothers is the same as the milk of mothers who gave birth at term.

Predictable growth spurts (at ___, ___, ___ and ___) usually last ___, after which infants resume normal feeding and milk production returns to previous production level.

T/F: The milk of mothers of preterm infants is different from that of mothers of full-term infants, which is necessary to meet the needs of these newborns.
True False

The composition of milk changes during feeding. The ___ content of the milk ___ as the infant feeds.

Colostrum precedes mature milk and is more concentrated and richer in ___ and ___ (but not ___).

Nurses should be able to tell breastfeeding mothers that all of the following are signs that the infant has latched on correctly to her breast except:

A. The baby sucks with cheeks rounded, not dimpled.
B. The baby’s jaw glides smoothly with sucking.
C. She feels a firm tugging sensation on her nipples but not pinching or pain.
D. She hears a clicking or smacking sound when the infant feeds.

Incorrectly latched infants wiil make a clicking or smacking sound that may indicate that the baby is having difficulty ___. The mother should hope to hear the sound of ___.

T/F: Signs that the infant has latched on correctly to her breast: The baby sucks with cheeks rounded, not dimpled.
True False

With regard to basic care of the breastfeeding mother, nurses should be able to advise her that she:

A. Will need an extra 1000 calories a day to maintain energy and produce milk.
B. Should avoid trying to lose large amounts of weight.
C. Must avoid exercising because it is too fatiguing.
D. Can go back to prepregnancy consumption patterns of any drinks as long as she gets enough calcium.

New moms should avoid trying to lose large amounts of weight because?

A breastfeeding mother need add ___ extra calories to her diet to provide extra nutrients for the infant.

T/F: With regard to basic care of the breastfeeding mother, nurses should be able to advise her that she can go back to prepregnancy consumption patterns of any drinks as long as she gets enough calcium.

Examples of appropriate techniques to wake a sleepy infant for breastfeeding include (choose all that apply):

A. Unwrapping the infant.
B. Changing the diaper.
C. Talking to the infant.
D. Slapping the infant's hands and feet.
E. Applying a cold towel to the infant's abdomen.

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