The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?

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: The correct answer is D because breast milk can be kept refrigerated for up to 72 hours. This is important to ensure the milk stays fresh and safe for the baby. Thawing and refreezing breast milk (Choice A) can lead to nutrient loss and contamination. Freezing breast milk for up to 6 months (Choice B) is not recommended as it can affect the quality of the milk. Storing breast milk only in glass bottles (Choice C) is not necessary as breast milk can be stored in BPA-free plastic bottles or storage bags specifically designed for breast milk.

Correct Answer: B

Rationale: The correct answer is B because colostrum is crucial for newborns as it is rich in antibodies, proteins, vitamins, and minerals essential for the baby's health and immune system. Colostrum provides vital nutrients and protective factors that help the baby fight infections and establish a healthy gut microbiome. It acts as the baby's first vaccine and is crucial for their overall well-being. Choice A is incorrect because colostrum is necessary for newborns due to its unique composition. Choice C is incorrect as colostrum is not lower in calories, and it is not necessary to supplement with formula. Choice D is incorrect as the primary purpose of giving colostrum is to benefit the newborn's health, not just for the mother's learning process.

Correct Answer: A

Rationale: Step 1: Monitoring the infant's output through diaper changes is a reliable indicator of sufficient nutrient intake. Step 2: Six or more diapers changed in a 24-hour period signifies that the baby is getting enough nutrients from breastfeeding. Step 3: This method is practical and easy for the mother to observe and track regularly. Step 4: It reassures the mother that her newborn is receiving adequate nutrition, addressing her concerns effectively. Summary: - Choice A is correct as it provides a tangible and practical method for assessing the baby's nutrient intake. - Choice B is incorrect as satisfaction with feeding does not directly correlate with nutrient intake. - Choice C is incorrect as it oversimplifies the situation and does not offer a practical solution. - Choice D is incorrect as providing pamphlets may not address the mother's immediate concerns about the baby's nutrient status.

Correct Answer: B

Rationale: The correct answer is B because the football hold is a breastfeeding position where the baby is positioned at the side of the mother, with the baby's legs tucked under the mother's arm. This position is beneficial for mothers who have had a cesarean birth as it keeps the baby away from the incision site. Choice A does not show the baby tucked under the arm, choices C and D show the baby positioned differently than in the football hold. Therefore, B is the correct choice for the football hold commonly used for postpartum patients who have had a cesarean birth.