A new mother is preparing for discharge. She plans on bottle ...

[mpobi80]

A new mother is preparing for discharge. She plans on bottle feeding her baby. Which statement indicates to the nurse that the mom needs more information about bottle feeding?
 
  a. I should encourage my baby to consume the entire amount of formula prepared for each feeding.
  b. I can make up a 24-hour supply of formula and refrigerate the bottles so I am ready to feed my baby.
  c. I will hold my baby in a cradle hold and alternate sides from left to right when I feed my baby.
  d. I will generally feed my baby every 3 to 4 hours or more as signs of hunger are displayed.

Question 2

A mother is breastfeeding her newborn infant but is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint.
 
  The best nursing response would be to:
 
  a. tell the client to wear a bra at all times to provide more support to breast tissue.
  b. have the client put the infant to her breast more frequently.
  c. place ice packs on breast tissue after infant feeding.
  d. explain that this is a normal finding and will resolve as her breast tissue becomes more used to nursing.

[ryhom]

Answer to Question 1

ANS: A
Infants will stop suckling when they are full. Encouraging them to overeat may lead to problems with regurgitation and possible aspiration. The mother can prepare a single bottle or a 24-hour supply if adequate refrigeration is available. Show the parents how to position the infant in a semiupright position, such as the cradle hold. This allows them to hold the infant close in a faceto-face position. The bottle is held with the nipple kept full of formula to prevent excessive swallowing of air. Placing the infant in the opposite arm for each feeding provides varied visual stimulation during feedings. Feed the infant every 3 to 4 hours but avoid rigid scheduling and take cues from the infant.

Answer to Question 2

ANS: B
The client may be experiencing signs of engorgement. Intervention methods such as placing the infant to feed more frequently may help prevent physical complaints of tenderness to milk accumulation. Wearing a bra at all times will not help resolve engorgement issues but can provide comfort. Ice packs provide symptomatic relief but do not resolve engorgement issues. Warm water compresses are more likely to provide comfort. Engorgement is not a normal finding but is a common presentation in nursing mothers. These symptoms will not dissipate with continuation of breastfeeding.