Low Risk Neonatal Nurse Exam Newborn Nutrition & Breastfeeding Support Flashcards

Which colostrum characteristic makes it uniquely beneficial for the newborn in the first days of life?

Answer: Rich in immunoglobulins, especially IgA, providing passive immunity

Colostrum is rich in secretory IgA and other immunoglobulins that coat the newborn's GI tract, providing passive immune protection.

A newborn is exclusively formula-fed. At what age should vitamin D supplementation begin?

Answer: Immediately at birth if consuming less than 1 L of formula per day

The AAP recommends vitamin D supplementation (400 IU/day) for formula-fed infants consuming less than 1 liter of formula per day.

Which position is recommended for a mother who had a cesarean birth to reduce incision discomfort while breastfeeding?

Answer: Football (clutch) hold

The football hold keeps the infant's body away from the abdominal incision, reducing pain during breastfeeding after cesarean birth.

What is the primary reason newborns should not receive water supplementation in the first months of life?

Answer: Water can cause hyponatremia and displaces calorie-dense feeds

Water supplementation can cause dilutional hyponatremia and reduces intake of nutrient-dense breast milk or formula.

A nurse assesses a 5-day-old formula-fed newborn who has not passed a stool in 48 hours. Which is the most appropriate first action?

Answer: Assess formula preparation technique and feeding volume

Incorrect formula preparation (overconcentration) or inadequate volume can lead to constipation, making assessment the appropriate first step.

Which statement about breastfeeding and jaundice is accurate?

Answer: Frequent breastfeeding reduces bilirubin levels by increasing stooling and preventing dehydration

Frequent breastfeeding promotes GI motility and stooling, which helps eliminate bilirubin and reduces jaundice severity.