Chapter 18: Newborn Nutrition and Feeding
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Chapter 18: Newborn Nutrition and Feeding

Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion

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Chapter 18: Newborn Nutrition and Feeding

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A new mother recalls from prenatal class that she should try to feed her newborn daughter when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically. On the basis of this information, this woman should feed her infant about every 2½ to 3 hours when she:
a. Waves her arms in the air.
b. Makes sucking motions.
c. Has the hiccups.
d. Stretches her legs out straight.

 

ANS: B

 

  Feedback
A Waving of the arms in the air is not a typical feeding-readiness cue.
B Sucking motions, rooting, mouthing, and hand-to-mouth motions are examples of feeding-readiness cues.
C Hiccups are not a typical feeding-readiness cue.
D Stretching of the legs is not a typical feeding-readiness cue.

 

DIF:   Cognitive Level: Comprehension  REF:  538

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Planning

 

  1. A new father is ready to take his wife and newborn son home. He proudly tells the nurse who is discharging them that within the next week he plans to start feeding the infant cereal between breastfeeding sessions. The nurse can explain to him that beginning solid foods before 4 to 6 months may:
a. Decrease the infant’s intake of sufficient calories.
b. Lead to early cessation of breastfeeding.
c. Help the infant sleep through the night.
d. Limit the infant’s growth.

 

ANS: B

 

  Feedback
A Introduction of solid foods before the infant is 4 to 6 months of age may result in overfeeding and decreased intake of breast milk.
B Introduction of solid foods before the infant is 4 to 6 months of age may result in overfeeding and decreased intake of breast milk.
C It is not true that feeding of solids helps infants sleep through the night.
D Introduction of solid foods before the infant is 4 to 6 months of age may result in overfeeding. The proper balance of carbohydrate, protein, and fat for an infant to grow properly is in the breast milk or formula.

 

DIF:   Cognitive Level: Application        REF:  538

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Evaluation

 

  1. A pregnant woman wants to breastfeed her infant; however, her husband is not convinced that there are any scientific reasons to do so. The nurse can give the couple printed information comparing breastfeeding and bottle-feeding. Which statement is true? Bottle-feeding using commercially prepared infant formulas:
a. Increases the risk that the infant will develop allergies.
b. Helps the infant sleep through the night.
c. Ensures that the infant is getting iron in a form that is easily absorbed.
d. Requires that multivitamin supplements be given to the infant.

 

ANS: A

 

  Feedback
A Exposure to cow’s milk poses a risk of developing allergies, eczema, and asthma.
B This is a false statement.
C Iron is better absorbed from breast milk than from formula.
D Commercial formulas are designed to meet the nutritional needs of the infant and resemble breast milk.

 

DIF:   Cognitive Level: Application        REF:  530

OBJ:  Client Needs: Physiologic Integrity                                         TOP:   Nursing Process: Diagnosis

 

  1. A postpartum woman telephones about her 4-day-old infant. She is not scheduled for a weight check until the infant is 10 days old, and she is worried about whether breastfeeding is going well. Effective breastfeeding is indicated by the newborn who:
a. Sleeps for 6 hours at a time between feedings.
b. Has at least one breast milk stool every 24 hours.
c. Gains 1 to 2 ounces per week.
d. Has at least six to eight wet diapers per day.

 

ANS: D

 

  Feedback
A This is not an indication of whether the infant is breastfeeding well. Typically infants sleep 2 to 4 hours between feedings, depending on whether they are being fed on a 2- to 3-hour schedule or cluster fed.
B The infant should have a minimum of three bowel movements in a 24-hour period.
C Breastfed infants typically gain 15 to 30 g/day.
D After day 4, when the mother’s milk comes in, the infant should have six to eight wet diapers every 24 hours.

 

DIF:   Cognitive Level: Comprehension  REF:  542

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Evaluation

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