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

Transitional milk replaces colostrum between days 3–5 postpartum; colostrum provides all the nutrition and immunological factors a newborn needs in the first days.

Question 2

Which newborn behavior indicates readiness to breastfeed?

Accepted Answer

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

Answer

Early feeding cues (rooting, sucking motions, hand-to-mouth activity) indicate hunger and readiness to feed; crying is a late hunger cue that makes latching more difficult.

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

Persistent nipple pain throughout feeding almost always indicates a poor latch; the infant should have most of the areola in the mouth, not just the nipple.

Question 4

Which maternal condition is a contraindication to breastfeeding?

Accepted Answer

HIV infection in the United States

Answer

In the US, HIV-positive mothers are advised not to breastfeed because HIV can be transmitted through breast milk; in resource-limited settings, guidance differs.

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

Frequent, effective milk removal through feeding or pumping is the most effective treatment for engorgement; warmth before feeds promotes let-down and cold packs after reduce swelling.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Breastfeeding and Infant Nutrition