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A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding. What information should be included in the teaching?

A.

Eat a high-fat diet.

B.

Stop taking prenatal vitamins.

C.

An additional 450-500 kCal per day should be consumed.

D.

8-16 oz of water per day is all that is needed.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

A high-fat diet is not recommended for breastfeeding mothers. While fats are an essential part of a balanced diet, excessive intake of high-fat foods can lead to unhealthy weight gain and may not provide the necessary nutrients for both the mother and the baby. Breastfeeding mothers should focus on a balanced diet that includes healthy fats, proteins, and carbohydrates to support their nutritional needs and milk production.

 

Choice B rationale

 

Stopping prenatal vitamins is not advisable for breastfeeding mothers. Prenatal vitamins contain essential nutrients such as folic acid, iron, and calcium that support the health of both the mother and the baby. Continuing to take prenatal vitamins can help ensure that breastfeeding mothers receive adequate nutrients, especially if their diet may not provide all the necessary vitamins and minerals.

 

Choice C rationale

 

Breastfeeding mothers need an additional 450-500 kCal per day to meet their increased energy requirements. This extra caloric intake supports milk production and helps the mother maintain her energy levels. The additional calories should come from a balanced diet that includes a variety of nutrient-dense foods.

 

Choice D rationale

 

Consuming only 8-16 oz of water per day is insufficient for breastfeeding mothers. Adequate hydration is crucial for milk production and overall health. Breastfeeding mothers should aim to drink at least 8-10 cups (64-80 oz) of water per day to stay hydrated and support their body’s increased fluid needs.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

The rubella vaccine should not be taken during pregnancy. It is a live attenuated vaccine, and there is a theoretical risk of harm to the developing fetus. Therefore, it is recommended to receive the vaccine before pregnancy.

Choice B rationale

The rubella vaccine is not recommended during each pregnancy. It is typically given as part of the MMR (measles, mumps, rubella) vaccine series in childhood, and immunity is usually lifelong. A booster dose is not needed during each pregnancy.

Choice C rationale

The rubella vaccine is not related to the Rh status of the baby. The vaccine is given to prevent rubella infection, which can cause serious birth defects if contracted during pregnancy.

Choice D rationale

The correct statement is that the client should avoid pregnancy for 28 days after receiving the rubella vaccine. This is to ensure that the live attenuated virus does not pose a risk to a developing fetus.

Correct Answer is C

Explanation

Choice A rationale

Long-acting reversible contraceptives, like an intrauterine device (IUD), are highly effective in preventing pregnancy. This statement is accurate and does not indicate a need for additional education.

Choice B rationale

Breastfeeding is not a form of contraception. This statement is correct as breastfeeding alone is not a reliable method of preventing pregnancy.

Choice C rationale

The statement “I will begin to use a barrier method after I start my first menstrual cycle” indicates a need for additional education. Ovulation can occur before the first postpartum menstrual cycle, so contraception should be used as soon as sexual activity resumes.

Choice D rationale

The withdrawal method is not very effective at avoiding pregnancy. This statement is accurate and does not indicate a need for additional education.

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