The perinatal nurse is teaching her new mother about ...

[acc299]

The perinatal nurse is teaching her new mother about breastfeeding and explains that the most appropriate time to breastfeed is:
 
  a. 3 to 4 hours after the last feeding
  b. When her infant is in a quiet alert state
  c. When her infant is in an active alert state
  d. When her infant exhibits hunger-related crying

Question 2

A mother of a 10-day-old infant calls the clinic and reports that her baby is having loose, green stools. The mother is breastfeeding her infant. Which of the following is the best nursing action?
 
  a. Instruct the woman to bring her infant to the clinic.
  b. Instruct the woman to decrease the amount of feeding for 24 hours and to call if the stools continue to be loose.
  c. Explain that this is a normal stool pattern.
  d. Instruct the woman to eat a bland diet for the next 24 hours and call back if the stools continue to be loose and green.

[braelync]

Answer to Question 1

ANS: b
The optimal time to breastfeed is when the baby is in a quiet alert state. Crying is usually a late sign of hunger, and achieving satisfactory latch-on at this time is difficult. Latch-on is proper attachment of the infant to the breast for feeding. The neonate is most alert during the first 1 to 2 hours after an unmedicated birth, and this is the ideal time to put the infant to the breast.

Answer to Question 2

ANS: a
Feedback
a. The loose, green stools indicate that the baby is having diarrhea. The infant needs to be evaluated by the primary health provider, because prolonged diarrhea can lead to dehydration and electrolyte imbalance.
b. The baby is having diarrhea. Decreasing the amount of feeding can further dehydrate the baby.
c. This is not a normal stool pattern; the baby is having diarrhea.
d. This neonate needs to be evaluated first, before determining a treatment plan.

[acc299]

Excellent

[duy1981999]

TYSM