Which recommendation should the nurse make to a patient to assist in initiating the milk-ejection reflex?

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: 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.

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.