Peterilli Chapter 25 Nutritional Needs Of A Newborn Nursing Program 210 Exam 2

Front 1

Finds large molecules of foreign proteins, including viruses and bacteria; prohibits absorption through the gastrointestinal tract.

Back 1

IgA

Front 2

Probably plays a role in assisting mammary glands to secrete milk.

Back 2

Adrenocorticosteroid hormone

Front 3

Hormone of the posterior pituitary gland that aids in uterine contractions.

Back 3

Oxytocin hormone

Front 4

Procedure used in preparation for breast-feeding to stimulate nipple to protrude and remove adhesions.

Back 4

Nipple rolling

Front 5

An amino acid essential for infant growth found in human breast milk and cow's milk.

Back 5

Histidine

Front 6

Contraindicated when breast-feeding; tends to cause the nipples to dry and crack.

Back 6

Soap

Front 7

Thin, watery, yellow fluid consisting of protein, sugar, fat, water, minerals, vitamins, and maternal antibodies.

Back 7

Colostrum

Front 8

Necessary mineral for building sound teeth and resistance to tooth decay.

Back 8

Fluoride

Front 9

The protein in cow's milk.

Back 9

Casein

Front 10

Allows protein to be used for building of new cells rather than for calories.

Back 10

Carbohydrates

Front 11

An enzyme that aids in destroying bacteria by dissolving their cell membranes.

Back 11

Lysozyme

Front 12

"New milk" formed after the let-down reflex.

Back 12

Hind milk

Front 13

Sugar nutrients found in breast milk that provide ready glucose for rapid brain growth.

Back 13

Lactose

Front 14

A fatty acid not found in skim milk but necessary for growth and skin integrity in infants.

Back 14

Lactiferous sinuses

Front 15

Infants who are fed by propping the bottles are in potential danger of aspirating fluids.

Back 15

True

Front 16

Infants put to bed with a bottle of milk risk developing "baby bottle syndrome".

Back 16

True

Front 17

If a woman is experiencing sore nipples from breast-feeding, she should use a hand pump to express the milk manually until the nipples have had a chance to heal.

Back 17

False

Front 18

Colostrum is the primary constituent of breast milk during the first 3 months of feeding.

Back 18

False

Front 19

Oxytocin is released by breast-feeding and stimulates contractions.

Back 19

True

Front 20

The more often breasts are emptied, the more efficiently they will fill and continue to maintain a good supply of milk.

Back 20

True

Front 21

Placing the breast-fed infant over one shoulder and gently stroking his or her back is the best position for burping him or her.

Back 21

False

Front 22

Sore nipples are a contraindication for breast-feeding.

Back 22

False

Front 23

________ __ ___ ________ allows progesterone levels to drop and stimulates the production of the __________ hormone.

Back 23

Delivery of the placenta; prolactin

Front 24

Prolactin-releasing factor stimulates the _________ _________, which responds with active production of _________.

Back 24

Anterior pituitary; prolactin

Front 25

For the woman who might be experiencing preterm labor, nipple rolling is contraindicated because ________ ________ ___ ____ __ ___ _____ __ _____.

Back 25

Oxytocin released may lead to the onset of labor

Front 26

Jane Albright is breast-feeding her baby girl, whom she delivered at 6:00 this morning, weighting 6lb, 7.5oz. The labor and delivery for mother and infant were uneventful. During the first feeding, Mrs. Alright asked how long her baby should suck on each breast per feeding. The nurse's best response would be which of the following?
A. The infant should start nuring about 15 minutes on each breast.
B. Five minutes on each breast for each feeding will be sufficient for today.
C. Nurse only on one breast today for 5 minutes per feeding and start alternating breasts with the first feeding tomorrow.
D. Ten minutes at each breast will be sufficient and will also keep the infant from becoming fatigued.

Back 26

B. Five minutes on each breast for each feeding will be sufficient for today.

Front 27

When counseling Mrs. Albright on breast-feeding, the nurse would know that the most fundamental ingredient for success is:
A. Teachin Mrs. Albright how to relax
B. Placing the infant correctly on the breast
C. Teaching Mrs. Albright how to hold the infant in the various feeding positions
D. Waiting until the infant actively demands a feeding

Back 27

A. Teachin Mrs. Albright how to relax

Front 28

On the second postpartum day, the nurse observes Mrs. Albright washing her breast and hands with soap just before she is to receive her infant for the next feeding. The nurse's action, if any, would be governed by which of the following statements?
A. Good hygiene is necessary when breast-feeding to avoid the spread of pathogens from the mother's skin to the newborn.
B. Mrs. Albright should not clean her breast and hands in preparation for feeding until the infant has arrived in the room.
C.Cleansing the breast with soap may lead to nipple soreness and dryness.
D. Stimulating the breast with washing produces increased activity of milk production that may be wastefully expressed before the infant is to be fed.

Back 28

C.Cleansing the breast with soap may lead to nipple soreness and dryness.

Front 29

On the third postpartum day. Mrs. Albright tells the nurse that she sometimes has difficulty getting the infant to suck. She describes the infant opening her mouth when the breast touches her face but turning her head in the opposite direction. The nurse would explain that this behavior is related to:
A. The infant's immaturity and unfamiliarity with the technique of feeding.
B. The extrusion reflex, which is normal for newborns and demonstrates the need for much assistance to ensure adequate nutrition
C. The rooting reflex, which suggests improper technique when placing the infant on the breast
D. Turning neck relex, which sugests that breast-fed infants are most sensitive to tactile stimulation

Back 29

C. The rooting reflex, which suggests improper technique when placing the infant on the breast

Front 30

Mrs. Albright reports that her daughter often falls asleep at feedings before she has taken in enough nutrients. Which of the following statements would be a helpful suggestions?
a. Wash the infant's face with cool water.
B. Give the infant a bath before alternating breasts to complete the feeding.
C. Rub the fontanel of theinfant's head gently.
D. Ticle the botom of the infant's feet.

Back 30

D. Ticle the botom of the infant's feet.

Front 31

Which of the following preparations of commercial formulas is the least expensive?
A. Powder to be combined with water
B. Condensed liquid to be diluted with equal parts of water
C. "Ready to pour" type
D. Individually prepackaged

Back 31

A. Powder to be combined with water

Front 32

Choose the correct statement to be used to calculate a nutrient needed for the newborn infant.
A. Fluid needs are approximately 100mL/kg body weigh per day.
B. Fat needs are approximately 20g/kg body weight per day.
C. Protein needs are 2.2 g/kg body weight per day.
D. Caloric needs are 100kcal/kg body weight per day.

Back 32

C. Protein needs are 2.2 g/kg body weight per day.

Front 33

______ milk is produced by the alveolar cells of the _______ gland in the presence of the hormone prolactin.

Back 33

Breast; mammary

Front 34

The infant promotes continuous milk production by _______ __ ___ ______.

Back 34

sucking on the breast

Front 35

An infant that is 1.5 months old and weighs 5 kg would require ___ to ___ calories per kilogram of body weight every 24 hours for adequate growth.

Back 35

110; 120

Front 36

Select all that apply
Which of the following is/are true about newborn nutrition and nutritional needs?
A. The caloric requirements in the nenatal period exceed those at any other age.
B. An infant up to 2 monts of age requires 50 to 60 calories per kilogram of body weight (22.7 to 27.3 kcal/lb) every 24 hours.
C.The caloric requirement at 1 year of age is 100kcal/kg, or 45 kcal/lb/day.
D. The 6-month-old has a caloric requirement similar to an adult requirement of 42 kcal/kg, or 20 kcal/lb per day.
E. The actual caloric requirement of an infant depends on an infant's individual activity levela dn growth rate.

Back 36

A. The caloric requirements in the nenatal period exceed those at any other age.
C.The caloric requirement at 1 year of age is 100kcal/kg, or 45 kcal/lb/day.
E. The actual caloric requirement of an infant depends on an infant's individual activity levela dn growth rate.

Front 37

Which of the following is an acceptable guideline for use and storage of canned formula?
A. The nutrients in canned formula may be enhanced with whole milk.
B. Spring water in most instances is found to be clean and more suitable in preparing infant formula.
C. Store the unused portions of the infant's botle at room temperature after feeding.
D. Formula in an open can should be used or discarded in 24 hours.
E. If the microwave is used to warm formula, shake the formula well to mix the cooled and warmed milk.

Back 37

D. Formula in an open can should be used or discarded in 24 hours.
E. If the microwave is used to warm formula, shake the formula well to mix the cooled and warmed milk.