The breastfeeding client tells the home health

The breastfeeding client tells the home health nurse that she is experiencing sore nipples. Which nursing action will the nurse complete first? A. Ask the client what type of soap she is using. B. Assess infant positioning and latch. C. Assist the client to implement temporary weaning until nipples are less sore. D. Instruct the client in the use of breast shields. 2 The nurse encourages a new mother to feed her newborn as soon as he shows interest. The nurse bases this recommendation on which of the following benefits of early feeding? (select all that apply) A. Colostrum stimulates peristalsis B. Colostrum is thinner than mature milk C. Enhances maternal-newborn attachment D. Decreases risk of jaundice E. Colostrum has higher amounts of fat compared to mature milk 3 A new breastfeeding mother asks the nurse how to tell if the baby is getting enough milk when she feeds him. The reply of the nurse is based upon knowledge that: A. The only way to assess is to pump afterwards to see if any breastmilk is remaining after each feed. B. Monitoring the number of feedings, stools, and voiding is an important assessment. C. If the baby cries, more feeding is indicated. D. There is no way to gauge breastfeeding effectiveness. 4 A breastfeeding client develops engorged breasts at 3 days postpartum. Which of the following actions would help this client achieve the goal of reducing engorgement? A. Breastfeed the infant at least every 2 hours. B. Skip 1-2 feedings to let her sore breasts rest. C. Reduce her fluid intake for 24 hours. D. Use a breast pump in between feedings to keep the breasts empty. 5 Which action by a new postpartum client indicates to the nurse the need for further instruction in breastfeeding technique? A. Holds the breast with four fingers along the bottom and thumb on top B. Stimulates the rooting reflex, then inserts the nipple and areola into the newborn’s mouth C. Checks the placement of the newborn’s tongue before breastfeeding D. Leans forward to bring her breast toward the baby 6 The mother who is formula feeding her newborn asks how often she should feed her baby. The nurse’s response is based on the fact that formula-fed infants: A. digest formula more rapidly and completely than breast fed infants. B. have the same feeding habits as breast fed infants. C. experience shorter periods of time between feedings than breast fed infants. D. may commonly experience 3-4 hours between feedings. 7 Which behavior by the mother of a newborn indicates effective bottle-feeding technique? A. Points the nipple at the infant’s tongue. B. Props the bottle on a rolled towel. C. Keeps the nipple full of formula throughout the feeding. D. Enlarges the nipple hole to allow for a steady stream of formula to flow. 8 The nurse is teaching a new mother how to encourage a sleepy baby to breastfeed. Which of the following will the nurse include in the teaching plan? (select all that apply) A. change the diaper. B. swaddle the newborn. C. unwrap the newborn from his blankets and place him skin to skin. D. allow the newborn to feel and smell the mother’s breast. E. hold the newborn closely and gently rock him. 9 Which of the following is the best advice for a nurse to give a breastfeeding client to effectively increase her breast milk supply? A. Increase fluid intake to a minimum of 3000 ml/day. B. Increase nipple stimulation by offering the baby the breast more frequently. C. Increase consumption of dairy products in the diet. D. Drink various herbal teas or take oral herbal preparations. 10 A multipara client who had a cesarean delivery states that whenever she breastfeeds her baby, she experiences uterine cramping at a pain level of 6-7. The appropriate nursing action will teach the client that: A. she has cramps because she had a cesarean delivery. B. oxytocin, which causes the uterus to contract, is released when the baby suckles at the breast. C. the cramps will diminish if she massages her uterus before nursing her baby. D. the sympathetic nervous system is stimulated when the baby breastfeeds.

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