Exam (elaborations)
Chapter 23 Newborn Feeding
- Course
- Nursing
- Institution
- University At Buffalo
Chapter 23 Newborn Feeding
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Chapter 23: Newborn FeedingTest Bank
MULTIPLE CHOICE
1. The breastfeeding mother should be taught a safe method to remove the breast from the
baby's mouth. Which suggestion by the nurse is most appropriate?
a. Slowly remove the breast from the baby's mouth when the infant has fallen asleep
and the jaws are relaxed.
b. Break the suction by inserting your finger into the corner of the infant's mouth.
c. A popping sound occurs when the breast is correctly removed from the infant's
mouth.
d. Elicit the Moro reflex to wake the baby and remove the breast when the baby cries.
ANS: B
Feedback
A The infant who is sleeping may lose grasp on the nipple and areola, resulting in
"chewing" on the nipple, making it sore.
B Inserting a finger into the corner of the baby's mouth between the gums to break
the suction avoids trauma to the breast.
C A popping sound indicates improper removal of the breast from the baby's
mouth and may cause cracks or fissures in the breast.
D Most mothers prefer the infant to continue to sleep after the feeding. Gentle
wake-up techniques are recommended.
PTS: 1 DIF: Cognitive Level: Application REF: p. 537
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. A pregnant woman wants to breastfeed her infant; however, her husband is not convinced that
there are any scientific reasons to do so. The nurse can give the couple printed information
comparing breastfeeding and bottle-feeding. Which statement is true? Bottle-feeding using
commercially prepared infant formulas
a. Increases the risk that the infant will develop allergies
b. Helps the infant sleep through the night
c. Ensures that the infant is getting iron in a form that is easily absorbed
d. Requires that multivitamin supplements be given to the infant
ANS: A
Feedback
A Exposure to cow’s milk poses a risk of developing allergies, eczema, and
asthma.
B This is a false statement. Newborns should be fed during the night regardless of
feeding method.
C Iron is better absorbed from breast milk than from formula.
D Commercial formulas are designed to meet the nutritional needs of the infant and
, to resemble breast milk. No supplements are necessary.
PTS: 1 DIF: Cognitive Level: Application REF: p. 531 | Box 23-2
OBJ: Nursing Process: Diagnosis
MSC: Client Needs: Physiologic Integrity: Basic Care and Comfort
3. How can the nurse help the mother who is breastfeeding and has engorged breasts?
a. Suggest that she switch to bottled formula just for today.
b. Assist her into removing her bra, making her more comfortable.
c. Apply heat to her breasts between feeding and cold to the breasts just before
feedings.
d. Instruct and assist the mother to massage her breasts.
ANS: D
Feedback
A Engorgement is more likely to increase if breastfeeding is delayed or infrequent.
B A well-fitting bra should be worn both day and night to support the breasts.
C Cold applications are used between feedings to reduce edema and pain. Heat is
applied just before feedings to increase vasodilation.
D Massage of the breasts causes release of oxytocin and increases the speed of
milk release.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 542
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
4. A new mother recalls from prenatal class that she should try to feed her newborn daughter
when she exhibits feeding readiness cues rather than waiting until her infant is crying
frantically. Based on this information, this woman should feed her infant about every 2.5 to 3
hours when she
a. Waves her arms in the air
b. Makes sucking motions
c. Has hiccups
d. Stretches out her legs straight
ANS: B
Feedback
A Waving about her arms in the air is not a feeding readiness cue.
B Sucking motions, rooting, mouthing, and hand-to-mouth motions are examples
of feeding-readiness cues.
C Hiccups are not a typical feeding-readiness cue.
D Stretching out her extremities is not a typical feeding-readiness cue.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 534 | Box 23-3
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
5. Which type of formula is not diluted before being administered to an infant?
a. Powdered
, b. Concentrated
c. Ready-to-use
d. Modified cow's milk
ANS: C
Feedback
A Formula should be well mixed to dissolve the powder and make it uniform.
B Improper dilution of concentrated formula may cause malnutrition or sodium
imbalances.
C Ready-to-use formula can be poured directly from the can into baby's bottle and
is good (but expensive) when a proper water supply is not available.
D Cow's milk is more difficult for the infant to digest and is not recommended,
even if it is diluted.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 546
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
6. How many kilocalories per kilogram (kcal/kg) of body weight does a breastfed term
infant require each day?
a. 50 to 75
b. 85 to 100
c. 100 to 110
d. 150 to 200
ANS: B
Feedback
A This amount is too little and does not provide adequate nutrition.
B The term breastfed infant requires 85 to 100 kcal/kg per day.
C The term newborn requires 100 to 110 kcal/kg to meet nutritional needs each
day.
D This amount may be too large and would lead to overfeeding.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 528
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
7. The hormone necessary for milk production is
a. Estrogen
b. Prolactin
c. Progesterone
d. Lactogen
ANS: B
Feedback
A Estrogen decreases the effectiveness of prolactin and prevents mature breast
milk from being produced.
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