Author Question: A nurse is conducting a breastfeeding assessment for a primipara mother. The infant has not yet ... (Read 63 times)

joblessjake · **on:** Jun 28, 2018

A nurse is conducting a breastfeeding assessment for a primipara mother. The infant has not yet learned how to latch on strongly, and the mother begins to get frustrated. In addition, the infant seems unsettled and uninterested in eating.

The mother comments that she thinks her frustration is causing her milk to spoil. How should the nurse handle this statement?
1. Agree with the mother's statement and teach her relaxation techniques to reduce her frustration.
2. Assure the mother that there is no evidence that milk composition changes based on the mother's emotional state. The infant is fussy because he can sense the mother's frustration.
3. Tell the mother that the delayed let-down resulting from her frustration is causing the infant to suck in air rather than milk.
4. Remind the mother that spoiled milk will cause cramping in the infant's stomach, contributing to his fussy demeanor.

Question 2

A nurse is evaluating the diet plan of a breastfeeding mother and determines that her intake of fruits and vegetables is inadequate.

The nurse explains that the nutritional composition of the breast milk can be adversely affected by this aspect of the mother's nutrition. Which of the following strategies should be recommended to the mother?
1. Stop breastfeeding.
2. Provide newborn supplements to the newborn.
3. Offer whole milk.
4. Supplement with skim milk.

amandanbreshears · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Although teaching the mother relaxation techniques is an appropriate response, there is no evidence that milk composition changes based on the mother's emotional state. Therefore, the nurse should not agree with this statement.
Rationale 2: Infants can sense the mother's emotions, so the mother should be taught relaxation techniques to reduce her frustration and enhance the feeding experience.
Rationale 3: A delayed let-down response will not cause the infant to suck air instead of milk through the nipple.
Rationale 4: There is no evidence that milk composition changes based on the mother's emotional state, so the infant will not be consuming spoiled milk. If the infant has stomach cramping, it will be for another reason that will need to be investigated more thoroughly.

Answer to Question 2

Correct Answer: 2
Rationale 1: The mother may continue to breastfeed, but the caregiver may choose to prescribe additional vitamins for the newborn.
Rationale 2: The mother may continue to breastfeed, but the caregiver may choose to prescribe additional vitamins for the newborn.
Rationale 3: Whole milk and skim milk are not recommended during the first year of life.
Rationale 4: Whole milk and skim milk are not recommended during the first year of life.