MCKINNEY EVOLVE RESOURCES FOR
MATERNAL CHILD NURSING ACTUAL TEST
SCRIPT 2026 VERIFIED SOLUTIONS
◉ A primiparous woman wants to begin breastfeeding as soon as
possible. The nurse can
facilitate the infant's correct latch-on by helping the woman hold the
infant
A. with his arms folded together over his chest.
B. curled up in a fetal position.
C. with his head cupped in her hand.
D. with his head and body in alignment. Answer: ANS: D
The infant's head and body should be in correct alignment with the
mother and the
breast during latch-on and feeding. The other positions do not
facilitate nursing.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 486 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
◉ A postpartum woman telephones about her 4-day-old infant. She
is not scheduled for a
,weight check until the infant is 10 days old, and she is worried about
whether breastfeeding is going well. Effective breastfeeding is
indicated by the newborn who
A. sleeps for 6 hours at a time between feedings.
B. has at least one breast milk stool every 24 hours.
C. gains 1 to 2 ounces per week.
D. has at least six to eight wet diapers per day.. Answer: ANS: D
After day 4, when the mother's milk comes in, the infant should have
six to eight wet
diapers every 24 hours. Typically infants sleep 2 to 4 hours between
feedings, depending on
whether they are being fed on a 2- to 3-hour schedule or cluster- fed.
The infant should
have a minimum of three bowel movements in a 24-hour period. The
mother will not know
what her child weighs until the appointment and so the nurse needs
to provide her with
other indicators of successful breastfeeding.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 489 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
◉ To prevent breast engorgement, the new breastfeeding mother
should be instructed to
, A. apply cold packs to the breast before feeding.
B. breastfeed frequently and for adequate lengths of time.
C. limit her intake of fluids for the first few days.
D. feed her infant no more than every 4 hours.. Answer: ANS: B
Engorgement occurs when the breasts are not adequately emptied
at each feeding or if
feedings are not frequent enough. Warm packs should be applied to
the breast before
feedings. Fluid intake should not be limited with a breastfeeding
mother; that will decrease
the amount of breast milk produced. Breast milk moves through the
stomach within 1.5 to
2 hours, so waiting 4 hours to feed is too long. Frequent feedings are
important to empty
the breast and to establish lactation.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 491 OBJ: Nursing Process: Implementation
◉ The difference between the aseptic and terminal methods of
sterilization is that the
A. aseptic method does not require boiling of the bottles.
B. terminal method requires boiling water to be added to the
formula.
C. aseptic method requires a longer preparation time.
MATERNAL CHILD NURSING ACTUAL TEST
SCRIPT 2026 VERIFIED SOLUTIONS
◉ A primiparous woman wants to begin breastfeeding as soon as
possible. The nurse can
facilitate the infant's correct latch-on by helping the woman hold the
infant
A. with his arms folded together over his chest.
B. curled up in a fetal position.
C. with his head cupped in her hand.
D. with his head and body in alignment. Answer: ANS: D
The infant's head and body should be in correct alignment with the
mother and the
breast during latch-on and feeding. The other positions do not
facilitate nursing.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 486 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
◉ A postpartum woman telephones about her 4-day-old infant. She
is not scheduled for a
,weight check until the infant is 10 days old, and she is worried about
whether breastfeeding is going well. Effective breastfeeding is
indicated by the newborn who
A. sleeps for 6 hours at a time between feedings.
B. has at least one breast milk stool every 24 hours.
C. gains 1 to 2 ounces per week.
D. has at least six to eight wet diapers per day.. Answer: ANS: D
After day 4, when the mother's milk comes in, the infant should have
six to eight wet
diapers every 24 hours. Typically infants sleep 2 to 4 hours between
feedings, depending on
whether they are being fed on a 2- to 3-hour schedule or cluster- fed.
The infant should
have a minimum of three bowel movements in a 24-hour period. The
mother will not know
what her child weighs until the appointment and so the nurse needs
to provide her with
other indicators of successful breastfeeding.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 489 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
◉ To prevent breast engorgement, the new breastfeeding mother
should be instructed to
, A. apply cold packs to the breast before feeding.
B. breastfeed frequently and for adequate lengths of time.
C. limit her intake of fluids for the first few days.
D. feed her infant no more than every 4 hours.. Answer: ANS: B
Engorgement occurs when the breasts are not adequately emptied
at each feeding or if
feedings are not frequent enough. Warm packs should be applied to
the breast before
feedings. Fluid intake should not be limited with a breastfeeding
mother; that will decrease
the amount of breast milk produced. Breast milk moves through the
stomach within 1.5 to
2 hours, so waiting 4 hours to feed is too long. Frequent feedings are
important to empty
the breast and to establish lactation.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 491 OBJ: Nursing Process: Implementation
◉ The difference between the aseptic and terminal methods of
sterilization is that the
A. aseptic method does not require boiling of the bottles.
B. terminal method requires boiling water to be added to the
formula.
C. aseptic method requires a longer preparation time.
