The nurse is conducting a postpartum visit to a client who is ...

[s.tung]

The nurse is conducting a postpartum visit to a client who is formula-feeding her infant. Which client statement indicates that teaching about weight maintenance has been effective?
 
  1. I have increased my caloric intake by 600 calories per day.
  2. My dietician has set my weight loss goal at 1 to 2 pounds per week.
  3. Instead of making another doctor's appointment, I started a diet that my best friend recommended.
  4. My daily regimen includes taking extra vitamin A, vitamin C, and thiamine in order to meet my body's increased need for nutrients after pregnancy.

Question 2

The nurse reviews nutritional requirements with a breastfeeding mother who is concerned that her milk production has decreased. Which statement indicates that further teaching is required?
 
  1. I have started cutting back on my protein intake.
  2. At least 3 times a day, I drink a glass of milk.
  3. I am drinking a minimum of 8 to 10 glasses of liquid a day.
  4. I try to take a nap in the morning and afternoon when the baby is sleeping.

[raenoj]

Answer to Question 1

2
Explanation:
1. If the mother has a good understanding of nutritional principles, it is sufficient to advise her to reduce her daily caloric intake by about 300 kcal and to return to prepregnancy levels for other nutrients.
2. Weight loss goals of 1 to 2 pounds (0.45 to 0.9 kg)/week are usually suggested for mothers who formula-feed.
3. The woman should diet only under the guidance of her primary healthcare provider.
4. After birth, the formula-feeding mother's dietary requirements return to prepregnancy levels.

Answer to Question 2

1
Explanation:
1. It is especially important for the breastfeeding mother to consume sufficient calories because inadequate caloric intake can reduce milk volume. The decreased intake of protein represents a decrease in calories, which will decrease milk production.
2. The breastfeeding mother must increase her protein and calcium intake.
3. The breastfeeding mother must consume a minimum of 8 to 10 glasses of liquid per day.
4. It has also been found that adequate rest is necessary for the body to maintain its production of milk.