Wednesday, January 15, 2014

NCLEX Question for Breast Feeding

Mrs. N. has just delivered her first baby who will breast fed. The nurse should include which of the following instructions in the teaching plan?
    a. Try to schedule feedings at least every three to four hours.
    b. Wash nipples with soap and water before each feeding.
    c. Avoid nursing bras with plastic lining.
    d. Supplement with water between feedings when necessary.

Correct Answer C. Successful lactation is fostered by feeding soon after delivery and then feeding when the newborn is ready to nurse; signs of infant readiness include a wakeful state and rooting and sucking motions. 
 
Mothers are advised to simply wash their hands before breast feeding; washing the nipples is not necessary.  

The use of powders, creams, and soap is discouraged.
 
In a normal term infant who is being breast fed, supplemental water feedings are not needed; in fact; these feedings may impede breast feeding by decreasing the volume of breast milk required and also by feeding by creating “nipple confusion” in the infant.

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