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Chapter 16: Discharge Planning and Teaching Multiple Choice 1. A nurse is making a home visit on the seventh postpartum day to assess a 23-year-old primipara woman and her full-term, healthy baby. Breastfeeding isthe method of infant nutrition. The woman tells the nurse that she does not think her milk is good because it looks very watery when she expresses a littlebefore each feeding. The nurse’s best response is: a. —This is normal. You only have to be concerned when your baby does notgain weight.| b. —What types of foods are you eating? A lack of protein in the diet can causewatery looking breast milk.1 c. —How much fluid are you drinking while you are nursing your baby? Toomuch fluid during the feeding session can dilute the breast milk.1 d. —This is normal and is referred to as foremilk which is higher in water content. Later in the feeding the fat content increases and the milk becomesricher in appearance.l ANS: d Feedback a. Correct information but does not provide information for the woman tounderstand the different types of milk. b. Incorrect information. c. Incorrect information. d. Correct. This provides an explanation for the consistency of the milk andreassures the woman that the appearance of the milk is normal. 2. A postpartum woman, who gave birth 12 hours ago, is breastfeeding her baby. She tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response for this patientis: a. —1 understand your concem, but your baby will be okay until your milk comesin.| b. —Your baby seems content, so you should not worry about him gettingenough to eat.| c. —Muilk normally comes in around the third day. Prior to that, he is gettingcolostrum which is high in protein and immunoglobulins which are importantfor your baby’s health.1 Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman d. —You can bottle feed until your milk comes in. IANS: ¢ Feedback a. Incorrect because it does not inform the woman of what to expect with thestages of milk. b. This conveys a message that the woman's concern is not important. c. This response provides information on the stages of milk production to helpthe woman understand her newborn’s nutritional needs. d. Incorrect response. It is important to avoid bottles until breastfeeding hasbeen well established. 3. Which of the following positions for breastfeeding is preferred for a 2-daypost- cesarean- birth woman? a Lying down on side b. Sitting c. Cradle d. Cross-cradle ANS: a Feedback a. Having the woman lying on her side to breastfeed prevents pressure on herabdomen and the pain that can result from the pressure. b. In this position, the baby is on the woman’s abdomen, and this can bepainful for the woman. @ O 2