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    Ati nur 114 martenal newborn proctored exam

    The nurse encourages the members of a prenatal class to seriously consider breastfeeding. What does breast milk provide in addition to nourishment for the infant?

    Explanation & Rationale

    Choice A rationale Breast milk contains various hormones, but their primary role isn't to stimulate maternal prolactin production; prolactin is secreted by the anterior pituitary gland in response to suckling. Breast milk provides immunoglobulins (antibodies), growth factors, and nutrients, but it is the suckling reflex that primarily drives the neuroendocrine arc for milk production. Choice B rationale Breast milk does not contain components that directly stimulate red blood cell (RBC) production in the infant. Erythropoiesis (RBC production) is primarily regulated by the hormone erythropoietin, produced by the infant's kidneys, in response to tissue oxygen needs, not by factors within the breast milk. Choice C rationale While breastfeeding has calming effects, the primary soothing mechanism is usually related to the physical contact, warmth, and sustenance. There's no robust evidence that breast milk contains pharmacologically significant levels of endorphins that directly act as a major sedative or analgesic agent for the infant. Choice D rationale Breast milk is rich in maternal antibodies (immunoglobulins), predominantly Secretory Immunoglobulin A (sIgA), which cannot cross the placental barrier. These antibodies coat the infant's gastrointestinal and respiratory tracts, providing passive immunity against specific pathogens the mother has encountered, thus protecting the neonate from infection.

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