Health Promotion and Maintenance
64. A client, who is 20 years old, delivered her first baby 2 days ago. She is exclusively breastfeeding and has been discharged home by her physician. A nurse has completed discharge teaching on newborn care. Which statement by the client would indicate a need for further teaching?
. "I should nurse my baby whenever he acts hungry and for as long as he wants to nurse."
. "If my baby has at least one wet diaper and one bowel movement a day, he is getting enough to eat."
. "I should dress my baby in clothing I would be comfortable in, plus a light blanket."
. "I should clean the cord stump with alcohol every day until it falls off."
Test-Taking Tip
This question is asking which answer is not correct. Be careful when reading and answering this type of question so that you do not pick out the first correct response rather than the proper incorrect response.
Content Area: Child Health, Newborn; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Health Promotion and Maintenance
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Answer 1 is incorrect because breast-fed infants should be fed on demand. Breast milk is more completely and quickly digested than formula. It is important not to limit infant sucking time at the breast because it is directly related to breast milk production. Answer 2 is correct because an infant who is exclusively breastfed should have at least four to six wet diapers daily. Adequate urinary output is a reliable indicator of adequate intake of breast milk. Answer 3 is incorrect because the infant should be dressed as parents would dress themselves. Overdressing can cause prickly heat rash. Wrapping the infant in a light blanket maintains body temperature and makes the infant feel secure. Answer 4 is incorrect because the cord stump should be cleaned with the solution ordered by the health-care provider daily until it falls off. Some providers may prefer natural drying, without using any alcohol for treating the cord.