Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 17: Newborn Nutrition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which term should the nurse use when documenting a new mother’s milk production in the medical record?
| 1) | Lactoferrin |
| 2) | Lactogenesis |
| 3) | Galactosemia |
| 4) | Engorgement |
____ 2. When determining a term newborn’s caloric needs, which should the nurse use?
| 1) | 60 to 80 kcal/kg/day |
| 2) | 105 to 108 kcal/kg/day |
| 3) | 110 to 120 kcal/kg/day |
| 4) | 140 to 160 kcal/kg/day |
____ 3. Which must occur for lactogenesis to occur?
| 1) | A slow drop in estrogen level after childbirth |
| 2) | An increase in progesterone level prior to childbirth |
| 3) | An increase in prolactin with nipple stimulation |
| 4) | A dramatic drop in oxytocin level with nipple stimulation |
____ 4. Which type of breast milk is produced in stage 1 of human milk production?
| 1) | Foremilk |
| 2) | Colostrum |
| 3) | Hindmilk |
| 4) | Transitional milk |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 17: Newborn Nutrition
Chapter learning objective: Define the key terms.
Chapter page reference: 247
Heading: Lactogenesis
Integrated processes: Communication and Documentation
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Communication
Difficulty: Moderate
| Feedback | |
| 1 | Lactoferrin is a protein found in breast milk that has bactericidal and iron-binding properties. |
| 2 | Lactogenesis is the medical term the nurse should use when documenting a new mother’s milk production in the medical record. |
| 3 | Galactosemia is a rare genetic metabolic disorder that makes it difficult for the infant to metabolize milk sugar, which can damage the liver, kidneys, and brain. |
| 4 | Engorgement can happen when the body is adjusting to the amount of milk to make. It can also occur the first time the baby sleeps through the night. The breasts may feel heavy and swollen, with a flat nipple. |
PTS: 1 CON: Communication
Chapter number and title: 17: Newborn Nutrition
Chapter learning objective: Discuss infant nutritional needs.
Chapter page reference: 246
Heading: Nutritional Needs of the Infant
Integrated processes: Clinical Decision-Making Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Nutrition
Difficulty: Easy
| Feedback | |
| 1 | The nurse should use 60 to 80 mL/kg/day to determine the fluid, not the caloric, needs for a preterm neonate. |
| 2 | The nurse should determine the caloric needs for a term neonate using 105 to 108 kcal/kg/day. |
| 3 | The nurse should use 110 to 120 kcal/kg/day to determine the caloric needs of a preterm, not a term, neonate. |
| 4 | The nurse should use 140 to 160 mL/kg/day to determine the fluid, not the caloric, needs for a term neonate. |
PTS: 1 CON: Nutrition
Chapter number and title: 17: Newborn Nutrition
Chapter learning objective: Describe the process of human milk production.
Chapter page reference: 247-248
Heading: Lactogenesis
Integrated processes: Clinical Decision-Making Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Nutrition
Difficulty: Easy
| Feedback | |
| 1 | A quick, not slow, drop in estrogen level after childbirth is needed for lactogenesis to occur. |
| 2 | An increase in estrogen level after, not prior to, childbirth is needed for lactogenesis to occur. |
| 3 | An increase in prolactin levels with nipple stimulation results in lactogenesis. |
| 4 | An increase, not a decrease, in oxytocin level is needed for lactogenesis. |
PTS: 1 CON: Nutrition
Chapter number and title: 17: Newborn Nutrition
Chapter learning objective: Describe the stages of milk production.
Chapter page reference: 248
Heading: Stages of Human Milk
Integrated processes: Clinical Decision-Making Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Nutrition
Difficulty: Easy
| Feedback | |
| 1 | Foremilk is produced during stage 3, not stage 1, of human milk production. |
| 2 | Colostrum is produced during stage 1 of human milk production. |
| 3 | Hindmilk is produced during stage 3, not stage 1, of human milk production. |
| 4 | Transitional milk is produced during stage 2, not stage 1, of human milk production. |
PTS: 1 CON: Nutrition
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