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    Health And Wellness (Maternity And Pediatrics Exam) Proctored Exam Soft

    The new breastfeeding mother is concerned that her full term infant isn't receiving enough food. What is an appropriate response from the nurse?

    Explanation & Rationale

    Choice A rationale This is an appropriate and reassuring response. Newborns have small stomach capacities and rapid gastric emptying, necessitating frequent feedings. Breastfeeding on demand, which translates to a minimum of 8 to 12 feedings in 24 hours (or approximately every 2-3 hours), ensures the infant receives adequate caloric intake and promotes milk supply, which is critical for infant growth. Choice B rationale This statement is incorrect regarding the energy needs of a full-term infant. A healthy term newborn requires a significantly higher caloric intake for adequate growth and development, typically demanding around 100 to 110 kilocalories per kilogram of body weight per day (kcal/kg/day), not the low range of 10 to 20 kcal/kg daily suggested. Choice C rationale This statement is an oversimplification and potentially inaccurate reassurance. While consistent weight gain is the goal, newborns should typically be breastfed on demand, which is more often than every 3-4 hours, especially in the early weeks. Restricting feedings to every 3-4 hours may lead to inadequate intake and poor weight gain, contradicting a mother's concern. Choice D rationale This is incorrect and potentially harmful advice. Breast milk is composed of over 85.

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