The nurse is preparing the client to make the necessary dietary changes from what she has been doing during her pregnancy to what she should do during lactation. What should breastfeeding mothers be advised?
A) Thirst is not a reliable indicator of need.
B) Even if a mother has adequate fat stores, calorie intake should be increased.
C) The intake does not need to be restricted because the caffeine does not enter breast milk.
D) If she does not consume enough calcium, her milk will be calcium deficient.
B
Feedback:
Women use approximately 500 calories above their normal total daily calorie needs to produce breast milk. An extra 330 cal/day are recommended for the first 6 months and an extra 400 cal/day for the second 6 months. Thirst can be a reliable indicator of need; caffeine can enter the breast milk; and if she does not consume enough calcium, her body will pull it from other areas to ensure the milk has enough.
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