When responding to the question, Will I produce enough milk for ...

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When responding to the question, Will I produce enough milk for my baby as she grows and needs more milk at each feeding? the nurse should explain that:
 
  a. The breast milk will gradually become richer to supply additional calories.
  b. As the infant requires more milk, feedings can be supplemented with cow's milk.
  c. Early addition of baby food will meet the infant's needs.
  d. The mother's milk supply will increase as the infant demands more at each feed-ing.

Question 2

The nurse who elects to practice in the area of obstetrics often hears discussion regarding the four Ps. These are the four major factors that interact during normal childbirth. What are the four Ps?
 
  a. Powers
  b. Passage
  c. Position
  d. Passenger
  e. Psyche

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Answer to Question 1

D
The amount of milk produced depends on the amount of stimulation of the breast. Increased demand with more frequent and longer breast-feeding sessions results in more milk available for the infant.
Mature breast milk will stay the same. The amounts will increase as the infant feeds for longer times.
Supplementation will decrease the amount of stimulation of the breast and decrease the milk production.
Solids should not be added until about 4 to 6 months when the infant's immune system is more mature. This will decrease the chance of allergy formations.

Answer to Question 2

A, B, D, E
Correct: A, B, D, E. Powers: the two powers of labor are uterine contractions and pushing efforts. During the first stage of labor through full cervical dilation, uterine contractions are the primary force moving the fetus through the maternal pelvis. At some point after full dila-tion, the woman adds her voluntary pushing efforts to propel the fetus through the pelvis. Passage: the passage for birth of the fetus consists of the maternal pelvis and its soft tissues. The bony pelvis is more important to the successful outcome of labor, because bones and joints do not yield as readily to the forces of labor. Passenger: this is the fetus plus the mem-branes and placenta. Fetal lie, attitude, presentation, and position are all factors that affect the fetus as passenger. Psyche: the psyche is a crucial part of childbirth. Marked anxiety, fear, or fatigue decreases the woman's ability to cope.
Incorrect: C. Position is not one of the four Ps.