[Family Focused Nursing Care (2021)]

Students' Preparation Sheet

Formula feeding NU 201 (2021)
Week --- Preparation Sheet
Date & Time Theory Clinical Preparation Content Location of Content Materials to Bring
Preparation Hospital Clinical Simulation Case
Content lab lab study
Sunday 9/2/2021  Pediatric Student will be Skill on Pediatric Pediatric  Chapter 27  All your clinical
nutrition. able to perform Elsevier nutrition nutrition  Page 629 London equipment.
 Abdominal bottle feeding chapter. chapter. book.
and and related Skill on Skill on Module: Formula
respiratory nursing Elsevier Elsevier feeding NU 201
assessment. practice, (2021)

 Chapter 25 page
558

- Questions related to the theory part for assigned lab: (the student must be answering all question before attend the lab to assess
the student readiness' for the lab)

1. Which intervention should the nurse implement for a newborn diagnosed with galactosemia?

1. Eliminate all milk and lactose-containing foods.

2. Encourage breastfeeding as long as possible.

Student Preparation Sheet

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3. Encourage lactose-containing formulas.
4. Avoid feeding soy-protein formula to the newborn.

2. Which statement by the parent of a newborn male diagnosed with galactosemia demonstrates successful teaching?

1. “This is a rare disorder that usually does not affect future children.”
2. “Our newborn looks normal; he may not have galactosemia.”
3. “Our newborn may need to take penicillin and other medications to prevent infection.”
4. “Penicillin and other drugs that contain lactose as fillers need to be avoided.”

3. The parent of a 10-month-old with CF asks the nurse how to meet the child’s increased nutritional needs. Which is the nurse’s best
suggestion?

1. “You may need to increase the number of fresh fruits and vegetables you give your child each day.”
2. “You may need to advance your child’s diet to whole cow’s milk because it is higher in fat than formula.”
3. “You may need to change your child to a higher-calorie formula.”
4. “You may need to increase your child’s carbohydrate intake each day.”

4. A nursing action that promotes ideal nutrition in an infant with CHF is:

1. Feeding formula that is supplemented with additional calories.

2. Allowing the infant to nurse at each breast for 20 minutes.
3. Providing large feedings every 5 hours.
4. Using firm nipples with small openings to slow feedings.

5. A 2-month-old is being treated with furosemide for CHF. Which of the following plans would also be appropriate in helping to
control the CHF?

Student Preparation Sheet

 [Family Focused Nursing Care (2021)]
1. Promoting fluid restriction.
2. Feeding a low-salt formula.
3. Feeding in semi-Fowler position.
4. Encouraging breast milk.

6. Which statement by the mother of an infant boy with CHF who is being sent home on digoxin indicates she needs further education
on the care of her child?

1. “I will give him the medication at regular 12-hour intervals.”

2. “If he vomits, I will not give him a make-up dose.”
3. “If I miss a dose, I will not give an extra dose, but keep him on his same schedule.”
4. “I will mix the digoxin in some of his formula to make it taste better for him.”

7. The nurse is teaching feeding techniques to new parents. The nurse emphasizes the importance of slowly warming the formula and
testing the temperature prior to feeding: the infant. The parent of a newborn asks, “Will my baby spit out the formula if it is too hot or
too cold?” Select the nurse’s best response.

1. “Babies have a tendency to reject hot fluids but not cold fluids, which could result in abdominal discomfort.”
2. “Babies have a tendency to reject cold fluids but not hot fluids, which could result in esophageal burns.”
3. “Your baby would most likely spit out formula that was too hot, but your baby could swallow some of it, which could result in a burn.”
4. “Your baby is too young to be physically capable of spitting out fluids and will automatically swallow anything.”

8. The mother of a newborn asks the nurse why she has to nurse so frequently. The nurse replies using which of the following
principles?

1. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than breastfed babies.
2. The newborn’s stomach capacity is small, and peristalsis is slow.
3. The newborn’s stomach capacity is small, and peristalsis is more rapid than in older children.
4. Breastfed babies tend to take longer to complete a feeding than formula-fed babies.

Student Preparation Sheet

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Question 9: what are the caloric requirements for newborn?
Requires 20 calories per ounce.

Question 10: advantages a disadvantage of breast feeding?

Advantages:
Breastfeeding use the human milk which come from whey so it can be easy digested.
Breast feeding prevent the baby from catching musculoskeletal diseases or immune diseases.
Breast feeding should be used exclusively for the first 6 months of life.

Disadvantages:
It is so difficult to feed the baby in the street in some cultures.
The human milk may contain microorganisms that can cause infection to the baby.
The mother may not have enough amount of milk to feed the baby.

Question 11: advantages and disadvantages of formula (bottle) feeding?

Advantages:
It is easy to feed the child in any place.

Student Preparation Sheet

 [Family Focused Nursing Care (2021)]
The mother can assess the intake and output for the baby.
It provides the baby with the sufficient nutrition.

Disadvantages:
It may be risk for infection to the baby.
It may cause the air to enter to the baby and causing distention.
It may cause the formula to leakage out of the mouth.

Question 12: what are the different types of formula?

 Cow’s milk formula fortified with iron is recommended for most newborns unless otherwise determined by a practitioner.
 Soy-based formula is commonly used for newborns who are lactose or cow’s milk protein intolerant or have galactosemia.
 Protein hydrolysate–based formula is primarily used for newborns who cannot tolerate or digest cow’s milk or soy-based
formulas.
 Amino acid–based formula is used for newborns with multiple food protein intolerances.

* The student needs to bring the following equipment to all clinical experiences:
- Alcohol hand gel - Pencil - Watch - Stethoscope - Measuring tape - Pain assessment tool - Penlight - Scissor
- Calculator

Student Preparation Sheet