The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, 'We have never done that to any baby boy in my family.' Which statement is best for the nurse to make?

Correct Answer: D

Rationale: Rationale for Correct Answer D: 1. Acknowledges father's statement without judgment. 2. Shows empathy and understanding towards family beliefs. 3. Promotes respect for cultural diversity and individual choices. 4. Encourages open dialogue and shared decision-making. 5. Reflects a patient-centered approach to care. Summary of Incorrect Choices: A: Assumes most families opt for circumcision without considering individual preferences. B: Passively offers information without addressing father's concerns. C: Imposes personal opinion on father's decision-making process, disregarding cultural beliefs.

Correct Answer: C

Rationale: The correct answer is C: Ready to use. Ready to use formula should not be diluted before being administered to an infant because it is already in the appropriate concentration for consumption. Diluting it further could result in the infant not receiving the necessary nutrients in the right proportions, potentially leading to nutritional deficiencies or other health issues. Explanation of why other choices are incorrect: A: Powdered formulas are designed to be mixed with water according to specific instructions provided by the manufacturer, so they should be diluted before administering to an infant. B: Concentrated formulas are meant to be mixed with water before feeding to the infant, so they should be diluted as per the instructions. D: Modified cow's milk should be diluted as it is not suitable for infants in its concentrated form and needs to be appropriately prepared according to guidelines provided by healthcare professionals.

Correct Answer: C

Rationale: The correct answer is C: Place the infant to the breast. This recommendation is correct because direct breastfeeding stimulation is the most effective way to initiate the milk-ejection reflex. The infant's sucking triggers the release of oxytocin, which causes the muscles around the milk ducts to contract and push milk out. Wearing a well-fitting firm bra (choice A) may provide support but does not directly stimulate the milk-ejection reflex. Drinking plenty of fluids (choice B) is important for overall milk production but does not specifically help initiate the reflex. Applying cool packs to the breast (choice D) may actually hinder milk flow by constricting blood vessels.

Correct Answer: A

Rationale: The correct answer is A: Unwrap and gently arouse the infant. This action is important to prevent the infant from falling asleep immediately after feeding, as it may lead to inadequate intake and poor weight gain. By gently arousing the infant, the mother can encourage the baby to feed for a longer duration, ensuring proper nourishment. Choices B, C, and D are incorrect because waiting an hour before attempting to feed again may result in long gaps between feeds, offering a bottle at the next feeding may not address the immediate issue of inadequate feeding, and putting the infant in the crib and trying again later does not actively address the problem of the infant falling asleep too quickly after feeding.

Correct Answer: D

Rationale: Step 1: The correct answer is D because it accurately explains the concept of milk supply and demand. Step 2: As the baby demands more milk at each feeding, the mother's body will naturally increase milk production to meet the demand. Step 3: This is the biological principle of supply and demand in breastfeeding. Step 4: Option A is incorrect because early addition of baby food is not related to milk production. Step 5: Option B is incorrect because breast milk composition remains relatively constant; it doesn't become richer as the baby grows. Step 6: Option C is incorrect because cow's milk is not recommended as a supplement for infants due to its composition being unsuitable for their digestive systems.