Author Question: A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and ... (Read 103 times)

madam-professor · **on:** Jun 28, 2018

A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft.

The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, the nurse would designate a score of:

a. 10 and document findings in the chart.
b. 6 and further teach and assist the mother in feeding activities.
c. 5 and tell the mother to discontinue feeding attempts at this time because the infant is too sleepy.
d. 8 and no further assistance is needed for feeding.

Question 2

A new mother asks whether she should feed her newborn colostrum because it is not real milk. The nurse's best answer includes which information?

a. Colostrum is unnecessary for newborns.
b. Colostrum is high in antibodies, protein, vitamins, and minerals.
c. Colostrum is lower in calories than milk and should be supplemented by formula.
d. Giving colostrum is important in helping the mother learn how to breast-feed before she goes home.

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

Answer to Question 1

ANS: B
The LATCH assessment tool is used to identify whether mothers need additional instruction in the area of breastfeeding. The LATCH categories are latch, audible communication/swallowing, type of nipple, comfort of breasts, and holding position of infant. The assessment data reveal a score of 6 (0 + 2 + 1 + 2 + 1) so the mother needs additional assistance during breastfeeding at this time.

Answer to Question 2

ANS: B
Colostrum is important because it has high levels of the nutrients needed by the neonate and helps protect against infection. Colostrum provides immunity and enzymes necessary to clean the gastrointestinal system, among other things. Supplementation is not necessary. It will decrease stimulation to the breast and decrease the production of milk. It is important for the mother to feel comfortable in this role before discharge, but the importance of the colostrum to the infant is top priority.