Maternal Newborn Nursing Test Breastfeeding and Infant Nutrition

Question 1

A new mother reports that her breastfed newborn is 3 days old and her milk has not yet 'come in.' What is the appropriate nursing response?

Accepted Answer

Reassure her that colostrum is sufficient for the newborn at this stage and milk transition occurs by days 3–5

Answer

Recommend supplementing with formula immediately

Answer

Advise stopping breastfeeding and switching to formula

Answer

Contact the provider to prescribe galactogogues

Question 2

Which newborn behavior indicates readiness to breastfeed?

Accepted Answer

Rooting, hand-to-mouth movements, and suckling motions while awake

Answer

Deep sleep with no body movement

Answer

Crying for more than 10 minutes continuously

Answer

Hiccupping after a feeding

Question 3

A breastfeeding mother reports severe nipple pain throughout the entire feeding. What is the most likely cause?

Accepted Answer

Incorrect latch with the infant only on the nipple, not the areola

Answer

Normal breast engorgement

Answer

Overactive let-down reflex

Answer

Nipple shield use

Question 4

Which maternal condition is a contraindication to breastfeeding?

Accepted Answer

HIV infection in the United States

Answer

Well-controlled hypothyroidism

Answer

Gestational diabetes that has resolved

Answer

History of mastitis treated successfully

Question 5

A nurse is teaching a mother about breast engorgement. Which measure is most effective for relief?

Accepted Answer

Frequent feeding or pumping to empty the breasts, with warm compresses before and cold packs after feeds

Answer

Binding the breasts tightly to suppress milk production

Answer

Restricting fluid intake to reduce milk production

Answer

Applying cabbage leaves permanently without feeding

Question 6

A breastfed newborn at 5 days of life has 7 wet diapers and 3 yellow, seedy stools per day. The mother is concerned about the frequency of stools. What should the nurse tell her?

Accepted Answer

This is a normal stool pattern for a breastfed newborn and indicates adequate milk intake

Answer

The newborn likely has diarrhea and should be seen by the provider

Answer

Formula supplementation is needed to firm up the stools

Answer

Reduce the frequency of breastfeeding sessions