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    RN Comprehensive Predictor 2026 Proctored Exam

    A nurse is providing discharge teaching to a new parent about breastfeeding their infant. Which of the following statements should the nurse make?

    Explanation & Rationale

    A. Breastfeeding should not be strictly time-limited. Newborns need to feed based on their own hunger and satiety cues, and feeding duration varies widely (often 10–20+ minutes per breast). Limiting time can interfere with adequate intake of both foremilk and hindmilk, potentially affecting nutrition and growth. B. It is recommended to alternate the starting breast with each feeding. Beginning with the same breast consistently can lead to engorgement on one side and may reduce stimulation and milk production in the other breast. Alternating ensures balanced milk production and comfort. C. Breastfed infants do not require water supplementation, even in most warm climates, because breast milk provides adequate hydration. Giving water can interfere with feeding frequency, reduce caloric intake, and potentially lead to water intoxication or electrolyte imbalance in infants. D. This reflects cue-based or demand feeding, which is the recommended approach for breastfeeding. Early hunger cues include rooting, sucking on hands, lip smacking, and increased alertness. Feeding on demand supports adequate milk supply, promotes infant growth, and improves breastfeeding success and bonding.

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