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?
I should breastfeed my baby at least six times per day.
I should keep my baby on a strict breastfeeding schedule.
I should feed my baby for 30 minutes during each feeding.
I should hold my baby just below the level of my breast.
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 A
Explanation
Choice A rationale
Each feeding should last between 20 and 30 minutes to ensure the baby gets enough nutrition and to facilitate bonding time.
Choice B rationale
Prepared formula should be used within 24 hours if stored in the refrigerator, not 5 days, to prevent bacterial growth and ensure the baby's safety.
Choice C rationale
Formula left at room temperature should not be refrigerated for reuse; it can develop bacteria that may harm the baby.
Choice D rationale
It is recommended to burp the baby multiple times during feeding to release swallowed air and prevent discomfort or spitting up.
Correct Answer is D
Explanation
Choice A rationale
Bumper pads can pose a suffocation risk to the newborn. The American Academy of Pediatrics advises against their use to promote a safe sleep environment.
Choice B rationale
Foam-wedge cushions are not recommended as they can increase the risk of suffocation and Sudden Infant Death Syndrome (SIDS) by obstructing airflow.
Choice C rationale
Plastic covers can pose a suffocation hazard. Instead, using a fitted sheet is safer and reduces the risk of suffocation.
Choice D rationale
A well-fitting mattress reduces gaps between the mattress and crib sides, preventing entrapment, which helps reduce the risk of suffocation and injury.