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A nurse is reinforcing discharge teaching about breastfeeding with a client. Which of the following statements by the client indicates an understanding of the teaching?

A.

I should breastfeed my baby at least six times per day.

B.

I should keep my baby on a strict breastfeeding schedule.

C.

I should feed my baby for 30 minutes during each feeding.

D.

I should hold my baby just below the level of my breast.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Breastfeeding at least six times per day is too infrequent for a newborn. Newborns typically need to feed more frequently, approximately 8-12 times in 24 hours, to establish a good milk supply and ensure adequate nutrition.

 

Choice B rationale

 

Keeping a baby on a strict breastfeeding schedule is not recommended. Feeding should be on demand, based on the baby's hunger cues, to promote effective breastfeeding and milk production.

 

Choice C rationale

 

Feeding the baby for 30 minutes during each feeding is correct. This duration allows adequate time for the baby to receive both foremilk and hindmilk, which is essential for nutrition and satiety.

 

Choice D rationale

 

Holding the baby just below the level of the breast is incorrect. The baby should be held at breast level to facilitate proper latch and comfortable feeding for both mother and baby. .

 


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Correct Answer is C

Explanation

Choice A rationale

Starting each feeding with the same breast can lead to engorgement and decreased milk supply in the other breast.

Choice B rationale

Exclusive breastfeeding is recommended for the first six months. Providing a formula supplement can interfere with milk supply and breastfeeding success.

Choice C rationale

Allowing the newborn to empty the first breast ensures they receive hindmilk, which is richer in fat and essential for growth.

Choice D rationale

Newborns do not need additional water as breast milk or formula provides all necessary hydration.

Correct Answer is B

Explanation

Choice A rationale

Wearing a loose-fitting bra does not help in managing mastitis. Proper breast support and continuing breastfeeding are important to keep the milk flowing and reduce inflammation.

Choice B rationale

Continuing to breastfeed helps to clear the infection and maintain milk supply. It ensures that the ducts are cleared, reducing inflammation and aiding recovery from mastitis.

Choice C rationale

Limiting fluid intake is not recommended. Adequate hydration is crucial to help with milk production and overall recovery, especially during an infection.

Choice D rationale

An abdominal sonogram is not relevant to the management of mastitis. Treatment focuses on antibiotics, pain relief, and continued breastfeeding. .

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