The nurse is teaching a breastfeeding client about substances to ...

[Chelseaamend]

The nurse is teaching a breastfeeding client about substances to avoid while she is breastfeeding. Which substances should the nurse include in the teaching session? (Select all that apply.)
 
  a. Caffeine
  b. Alcohol
  c. Omega-6 fatty acids
  d. Appetite suppressants
  e. Polyunsaturated omega-3 fatty acids

Question 2

The nurse is teaching a client taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session? (Select all that apply.)
 
  a. Advise taking a daily laxative for constipation.
  b. Recommend a diet high in fruits and vegetables.
  c. Encourage an increase in fluid consumption during the day.
  d. Increase the intake of whole grains and whole grain products.
  e. Suggest increasing the intake of dairy products, especially cheeses.

[xoxo123]

Answer to Question 1

ANS: A, B, D
Foods high in caffeine should be limited. Infants of mothers who drink more than two or three cups of caffeinated coffee or the equivalent each day may be irritable or have trouble sleeping. Although the relaxing effect of alcohol was once thought to be helpful to the nursing mother, the deleterious effects of alcohol are too important to consider this suggestion appropriate today. An occasional single glass of an alcoholic beverage may not be harmful, but larger amounts may interfere with the milk ejection reflex and may be harmful to the infant. Nursing mothers should avoid appetite suppressants, which may pass into the milk and harm the infant. The long-chain polyunsaturated omega-3 and omega-6 fatty acids are present in human milk. Therefore, they should be included in the mother's diet during lactation.

Answer to Question 2

ANS: B, C, D
Common sources of dietary fiber include fruits and vegetables (with skins when possibleapples, strawberries, pears, carrots, corn, potatoes with skins, and broccoli), whole grains, and whole grain productswhole wheat bread, bran muffins, bran cereals, oatmeal, brown rice, and whole wheat pasta. Increased intake of fluids can help prevent constipation. A pregnant client should not take a daily laxative unless prescribed by her health care provider. Increased intake of dairy products, especially cheese, can increase constipation.