The nurse is aware that a well-nourished mother ensures an ...

[tatyanajohnson]

The nurse is aware that a well-nourished mother ensures an adequate and nutritious milk supply for her newborn and protects her own health. Which of the following is an accurate guideline for the nutritional needs of nursing mothers?
 
  A) The nursing mother needs 1,000 extra calories per day.
  B) Fluid intake should be limited to prevent engorgement.
  C) Moderate alcohol can be used to relax the mother and stimulate the let-down reflex.
  D) Strongly flavored foods should be avoided because they can cause colic in newborns.

Question 2

The nurse is caring for a 35-year-old woman who has built up alcohol tolerance. Which of the following is a nursing consideration appropriate for this client?
 
  A) Many painkillers will have a more potent effect on the client.
  B) The client will become intoxicated slower than male counterparts.
  C) The use of the antacid Zantac slows the absorption of alcohol.
  D) The use of aspirin enhances the absorption of alcohol.

[kescobar@64]

Answer to Question 1

D
Feedback:
Strongly flavored foods may cause temporary colic in some babies. This colic usually lasts approximately 24 hours. Common offenders are onions, garlic, beans, and rhubarb. Nursing mothers should receive about 500 calories a day above their nonnursing caloric intake. Adequate fluids are also important for milk production. Alcohol does appear in breast milk, and large quantities in the maternal diet have been shown to inhibit the let-down reflex.

Answer to Question 2

D
Feedback:
Medications, such as aspirin, cimetidine (Tagamet), and ranitidine (Zantac), enhance absorption of alcohol. A person who has built up alcohol tolerance is likely to be cross-tolerant to other CNS depressants, such as benzodiazepines, which are commonly used to treat mental illnesses. Analgesics, such as morphine, given for pain will also have less potent effects for such an individual. Women become intoxicated faster than men because their GI absorption rate is faster, their body fluid composition is different, the ratio of muscle to fat is different, and they are usually smaller.

[tatyanajohnson]

Thank you

[kescobar@64]

Happy to help you