Chapter 30 Newborn Nutrition

Chapter 30   Newborn Nutrition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) A nurse is evaluating the diet plan of a breastfeeding mother. Which beverage is most likely to cause intolerance in the infant?

1. Orange juice
2. Milk
3. Decaffeinated tea
4. Water

Answer:  2

Explanation:  2. Often fussy breastfeeding or cow’s milk-based formula-fed infants are switched to a lactose-free formula because of concerns about lactose intolerance.

Page Ref: 730

Cognitive Level:  Analyzing

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient-centered care. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  2 Explain the advantages and disadvantages of breastfeeding and formula-feeding in determining the nursing care of both mother/family and newborn.

MNL LO:  4.4.1 Recognize maternal and newborn factors when assisting parents in choosing an infant feeding method.

 

 

2) The nurse is caring for a premature infant in the NICU, and is going to attempt a bottle feeding with thawed breast milk. How long can thawed breast milk be stored in the refrigerator before the nurse must discard it?

1. 4 hours
2. 8 hours
3. 12 hours
4. 24 hours

Answer:  4

Explanation:  4. Previously frozen thawed breast milk is good in the refrigerator for 24 hours only.

Page Ref: 747

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment: Safety and Infection Control

Standards:  QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Quality and Safety: Use technologies that contribute to safety. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  2 Explain the advantages and disadvantages of breastfeeding and formula-feeding in determining the nursing care of both mother/family and newborn.

MNL LO:  4.4.3 Examine the considerations of breastfeeding when caring for the family with a newborn.

3) The nurse is teaching a prenatal class about feeding methods. A father-to-be asks the nurse which method, breast or formula, leads to the fastest infant growth and weight gain. Which response by the nurse is best?

1. “In the first 3 to 4 months breastfed babies tend to gain weight faster.”
2. “In the first 3 to 4 months there is no difference in weight gain.”
3. “In the first 3 to 4 months bottle-fed babies grow faster.”
4. “In the first 3 to 4 months growth isn’t as important as your comfort with the method.”

Answer:  1

Explanation:  1. Exclusively breastfed infants have the same or slightly higher weight gain than their formula-fed and combination-fed peers in the first 3 to 4 months.

Page Ref: 727, 728

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Explain the advantages and disadvantages of breastfeeding and formula-feeding in determining the nursing care of both mother/family and newborn.

MNL LO:  4.4.1 Recognize maternal and newborn factors when assisting parents in choosing an infant feeding method.

 

4) The community nurse is working with poor women who are formula-feeding their infants. Which statement indicates that the nurse’s education session was effective?

1. “I should use only soy-based formula for the first year.”
2. “I follow the instructions for mixing the powdered formula exactly.”
3. “It is okay to add more water to the formula to make it last longer.”
4. “The mixed formula can be left on the counter for a day.”

Answer:  2

Explanation:  2. Powdered formula is the least expensive type of formula. Parents will need to be briefed on safety precautions during formula preparation and they should be instructed to follow the directions on the formula package label precisely as written.

Page Ref: 750

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment: Safety and Infection Control

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  2 Explain the advantages and disadvantages of breastfeeding and formula-feeding in determining the nursing care of both mother/family and newborn.

MNL LO:  4.4.2 Examine the considerations of formula feeding when caring for the family with a newborn.

5) What is the primary carbohydrate in mammalian milk that plays a crucial role in the nourishment of the newborn?

1. Colostrum
2. Lactose
3. Lactoferrin
4. Secretory IgA

Answer:  2

Explanation:  2. Lactose is the primary carbohydrate in mammalian milk.

Page Ref: 729

Cognitive Level:  Understanding

Client Need/Sub:  Physiological Integrity: Physiological Adaptation

Standards:  QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient-centered care. | AACN Essentials Competencies: I. 3. Use skills of inquiry, analysis, and information literacy to address practice issues. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Compare the nutritional value and composition of human milk and formula preparations in relation to the nutritional needs of the newborn.

MNL LO:  4.4.3 Examine the considerations of breastfeeding when caring for the family with a newborn.