Author Question: During a routine health visit, the mother of a 6-month-old baby mentions that she would like to ... (Read 51 times)

Marty · **on:** Jun 27, 2018

During a routine health visit, the mother of a 6-month-old baby mentions that she would like to begin weaning the baby from breastfeeding. What teaching should the nurse provide to the mother at this time?

A) Apply heat to the breasts to suppress breast milk production.
B) Discontinue gradually by omitting one breastfeeding session a day.
C) Instead of breastfeeding the baby, pump the breasts to reduce pressure.
D) Provide a bottle of regular milk to supplement one breastfeeding session.

Question 2

A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds, integrating understanding that this most likely is due to which of the following?

A) Placing the newborn prone after feeding
B) Limited ability of digestive enzymes
C) Underdeveloped pyloric sphincter
D) Relaxed cardiac sphincter

trog · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
When weaning, breastfeeding should be discontinued gradually by first omitting one breastfeeding a day and substituting a formula feeding. Heat to the breasts does not suppress milk production. Pumping the breasts will continue milk production. If weaning before 12 months, the baby should be weaned to formula and not whole milk.

Answer to Question 2

D
Feedback:
The cardiac sphincter and nervous control of the stomach is immature, which may lead to uncoordinated peristaltic activity and frequent regurgitation. Placement of the newborn is unrelated to regurgitation. Most digestive enzymes are available at birth, but they are limited in their ability to digest complex carbohydrates and fats; this results in fatty stools, not regurgitation. Immaturity of the pharyngoesophageal sphincter and absence of lower esophageal peristaltic waves, not an underdeveloped pyloric sphincter, also contribute to the reflux of gastric contents.