Chapter 24: Newborn Nutrition and Feeding Perry: Maternal Child Nursing Care, 6th Edition

Chapter 24:
Newborn
Nutrition and
Feeding Perry:
Maternal Child
Nursing Care, 6th
Edition
1. 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. On the basis of 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 her legs out straight. - CORRECT ANSWERANS: B
Sucking motions, rooting, mouthing, and hand-to-mouth
motions are examples of feeding-readiness cues. Waving
the arms in the air, hiccupping, and stretching the legs
out straight are not typical feeding-readiness cues.
2. A new father is ready to take his wife and newborn son
home. He proudly tells the nurse who is discharging them
that within the next week he plans to start feeding the
infant cereal between breastfeeding sessions. The nurse
can explain to him that beginning solid foods before 4 to
6 months may:
a. decrease the infant's intake of sufficient calories.
b. lead to early cessation of breastfeeding.
c. help the infant sleep through the night.
d. limit the infant's growth. - CORRECT ANSWER-ANS: B
Introduction of solid foods before the infant is 4 to 6
months of age may result in overfeeding and decreased
intake of breast milk. It is not true that feeding of solids
helps infants sleep through the night. The proper balance
of carbohydrate, protein, and fat for an infant to grow
properly is in the breast milk or formula.
3. 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 most accurate?
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. - CORRECT ANSWER-ANS: A
Exposure to cow's milk poses a risk of developing
allergies, eczema, and asthma. "Bottle-feeding using
commercially prepared infant formulas helps the infant
sleep through the night" is a false statement. Iron is
better absorbed from breast milk than from formula.
Commercial formulas are designed to meet the
nutritional needs of the infant and resemble breast milk.
4. A after birth woman telephones about her 4-day-old
infant. She is not scheduled for a weight check until the
infant is 10 days old, and she is worried about whether
breastfeeding is going well. Effective breastfeeding is
indicated by the newborn who:
a. sleeps for 6 hours at a time between feedings.
b. has at least one breast milk stool every 24 hours.
c. gains 1 to 2 ounces per week.
d. has at least 6 to 8 wet diapers per day. - CORRECT
ANSWER-ANS: D
After day 4, when the mother's milk comes in, the infant
should have 6 to 8 wet diapers every 24 hours. Sleeping
for 6 hours between feedings is not an indication of
whether the infant is breastfeeding well. Typically infants
sleep 2 to 4 hours between feedings, depending on
whether they are being fed on a 2- to 3-hour schedule or
cluster fed. The infant should have a minimum of three
bowel movements in a 24-hour period.
Breastfed infants typically gain 15 to 30 g/day.
5. A primiparous woman is delighted with her newborn
son and wants to begin breastfeeding as soon as
possible. The nurse can facilitate the infant's correct
latch-on by helping the woman hold the infant:
a. with his arms folded together over his chest.
b. curled up in a fetal position.
c. with his head cupped in her hand.
d. with his head and body in alignment. - CORRECT
ANSWER-ANS: D
The infant's head and body should be in correct
alignment with the mother and the breast during latchon and feeding. Holding the infant with his arms folded
together over his chest, curled up in a fetal position, or
with his head cupped in her hand are not ideal positions
to facilitate latch-on.