QUESTION: "At which of the following times would the nurse anticipate assisting a client to breast-feed her neonate? "
CHOICES
( O ) a.) During the neonate's first period of reactivity.
( X ) b.) In about 2 hours, after the baby has been evaluated.
( X ) c.) In about 4 hours, after the baby has had some sleep.
( X ) d.) After the neonate's first period of reactivity.
RATIONALE: A neonate is active and alert soon after birth, if no complications exist. The American Academy of Pediatrics recommends beginning breast-feeding as soon as possible after delivery or during the first period of reactivity. Many institutions provide sterile water for the initial feeding to assess for esophageal atresia. Because colostrum is not irritating if aspirated and is readily absorbed by the neonate's respiratory system, breast-feeding can be done immediately after birth. Maternal infant bonding will be delayed if breast-feeding is not initiated during the first period of reactivity, the first 2 hours after birth. Maternal infant bonding will be delayed if breast-feeding is not initiated during the first period of reactivity, the first two hours after birth. After the first period of reactivity the neonate goes to sleep, thus making breast-feeding difficult. NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Health promotion and maintenance CLIENT NEEDS SUBCATEGORY: None
