The nurse is caring for a client who states that she breastfed her other children for the first 3 months and then switched to formula. The nurse advises
... [Show More] her that exclusive breastfeeding is recommended for at least the first __ months of life, but ideally the firs __ months of life.
6; 12
When caring for a newborn, which action indicates the newborn is ready to breastfeed?
Places hands in mouth
The nurse is assessing the newborn's initial meconium stool. What characteristics should the nurse expect the stool to have? Select all that apply.
Odorless
Thick
Dark green
The nurse is caring for a client who is breastfeeding. Which assessment findings indicate to the nurse that the client is experiencing normal physiological responses related to breastfeeding? Select all that apply.
When the client takes a warm shower, milk leaks from the breasts.
When the newborn cries, the client feels a warm sensation in the breasts.
The client feels uterine cramping and experiences a flow of lochia.
No audible swallowing is heard.
Too sleepy
A client who delivered a newborn 12 hours ago is concerned that the newborn is sleepy and doesn't want to breastfeed. Which newborn assessment item should the nurse collect first?
Response to being unwrapped and placed at the breast
The nurse is assisting a client and a newborn with breastfeeding two days postpartum. The newborn is crying and is having difficulty latching. The client verbalizes concern that she is not producing enough milk and that's why her child is fussy. Which responses by the nurse are the most appropriate? Select all that apply.
"When he does latch, we can hear him swallowing and see that he has a good suck."
"I will assist you in calming him and trying a new approach to get him to latch."
"This is normal behavior and doesn't necessarily mean he isn't getting enough milk."
Which statements will the nurse make when reinforcing postpartum education regarding breastfeeding? Select all that apply.
"Ensure your baby is latched correctly to avoid nipple irritation and pain."
The nurse caring for a client is providing education regarding breastfeeding. Which are appropriate guidelines for the nurse to provide? Select all that apply.
Teach maternal and infant benefits of breastfeeding.
Ensure a proper latch to avoid nipple soreness and injury.
The nurse is assessing a breastfeeding client who states that her breasts feel tight two days after birth. Which responses by the nurse are appropriate? Select all that apply.
"This can be normal but be sure that your breasts empty with each feeding."
"I see you are not wearing a supportive bra, which would help to minimize engorgement."
"If your breasts haven't emptied when the baby is done, use a breast pump after the feeding."
Which assessment findings require follow-up? Select all that apply.
Robin's breasts are firm to touch.
Robin requests a bottle for her son.
The newborn is sucking on his fist.
Based on the cues, which does the nurse suspect is occurring?
Robin is considering bottle feeding or needs additional guidance on breastfeeding.
Based on this information, which should the nurse address first?
Determine if Robin would like assistance with breastfeeding her son.
The nurse assists Robin with getting her son latched. Which nursing actions will the nurse take to help Robin prevent engorgement and subsequent mastitis? For each, indicate if the action is indicated or contraindicated.
Contraindicated:
If Robin's breasts feel firm, reduce the time the infant feeds.
Decrease fluid intake to prevent over production of breast milk.
Which two actions will the nurse perform next?
Administer analgesic medication.
Express some breast milk by hand or with a pump.
On the day of discharge, the nurse observes Robin as she begins breastfeeding and calculates a LATCH score. Based on the LATCH scoring system, drag and drop each finding to the correct scoring area on the LATCH table below to calculate Robin's LATCH score. (Based on this score, does the nurse need to provide Robin with further assistance with breastfeeding? Use your textbook as a resource.)
L-2
A-2
T-2
C-2
H-1 [Show Less]