Maternal Newborn Nursing Test Breastfeeding and Infant Nutrition 3

Question 1

A nurse is teaching a breastfeeding mother about proper milk storage. Which guideline is correct for expressed breast milk at room temperature?

Accepted Answer

Freshly expressed milk can be stored at room temperature (77°F/25°C) for up to 4 hours

Answer

Room temperature storage is safe for up to 24 hours

Answer

Expressed milk must be refrigerated immediately after pumping

Answer

Breast milk cannot be stored outside the refrigerator under any circumstances

Question 2

A mother asks about introducing cow's milk to her 10-month-old breastfed infant. What is the nurse's best response?

Accepted Answer

Whole cow's milk should not be introduced as the primary drink until 12 months of age

Answer

Whole cow's milk can be introduced at 6 months

Answer

Skim or low-fat milk is preferred from 9 months

Answer

Cow's milk is safe to start anytime after 6 months as a supplement

Question 3

Which maternal medication is considered safe during breastfeeding?

Accepted Answer

Ibuprofen (Advil) for postpartum pain management

Answer

Codeine for pain management

Answer

Amiodarone for cardiac arrhythmia

Answer

Methotrexate for autoimmune disease

Question 4

A nurse is teaching a new mother about foremilk and hindmilk. Which statement best describes the significance of hindmilk?

Accepted Answer

Hindmilk has higher fat content and provides more calories to promote infant satiety and weight gain

Answer

Hindmilk is the same as foremilk in composition

Answer

Foremilk contains more fat than hindmilk

Answer

Hindmilk is only produced during the first week postpartum

Question 5

Which herbal supplement is commonly believed to increase milk supply but has limited evidence and potential risks?

Accepted Answer

Fenugreek

Answer

Echinacea

Answer

Ginger root

Answer

Chamomile

Question 6

A breastfeeding mother reports white, shiny, painful nipples between feedings with a shooting pain into the breast. What condition should the nurse suspect?

Accepted Answer

Nipple and breast candidiasis (thrush)

Answer

Mastitis

Answer

Normal postpartum engorgement

Answer

Raynaud's phenomenon of the nipple