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A nurse is caring for a postpartum client.

Exhibits
Which of the following statements by the client indicates an understanding of the discharge teaching?

Click to highlight the client statements that indicate an understanding of the discharge teaching.

"Because of my baby's weight loss, I need to supplement with formula after breastfeeding."

"I should make sure that my baby feeds 8 to 12 times per day."

"I should cover my sore nipples with plastic-lined breast pads after every feeding."

"My baby's stools should turn to a yellow color within the next day or two.

I can increase my milk supply by drinking more water.

I should expect my breasts to become harder, warmer, and more tender when my milk comes in."

Because of my baby's weight loss, I need to supplement with formula after breastfeeding

I should make sure that my baby feeds 8 to 12 times per day.

I should cover my sore nipples with plastic-lined breast pads after every feeding

My baby's stools should turn to a yellow color within the next day or two

I can increase my milk supply by drinking more water.

I should expect my breasts to become harder, warmer, and more tender when my milk comes in.

Answer and Explanation

The Correct Answer is ["B","D","F"]

Correct Choices for Indicating Understanding:

"I should make sure that my baby feeds 8 to 12 times per day."
"My baby's stools should turn to a yellow color within the next day or two."
"I should expect my breasts to become harder, warmer, and more tender when my milk comes in."

Rationale

"Because of my baby's weight loss, I need to supplement with formula after breastfeeding."
- This statement does not necessarily indicate an understanding of discharge teaching, as supplementation should only be done based on medical advice and not solely based on perceived weight loss.
"I should make sure that my baby feeds 8 to 12 times per day."
- This statement indicates an understanding of discharge teaching, as frequent feeding is important for newborns to ensure adequate nutrition and hydration, and to promote milk production in breastfeeding mothers.
"I should cover my sore nipples with plastic-lined breast pads after every feeding."
- This statement does not indicate proper understanding, as plastic-lined breast pads can retain moisture and increase the risk of infection. Instead, breathable pads or natural remedies are often recommended.
"My baby's stools should turn to a yellow color within the next day or two."
- This statement indicates an understanding of normal neonatal stool changes, as breastfed babies' stools typically transition to a yellow color within a few days of birth.
"I can increase my milk supply by drinking more water."
- While staying hydrated is important, this statement alone is insufficient for indicating a comprehensive understanding of increasing milk supply. Effective breastfeeding practices and frequent nursing are more directly impactful.
"I should expect my breasts to become harder, warmer, and more tender when my milk comes in."
- This statement indicates an understanding of the common experience of breast engorgement when milk comes in, which is a normal part of the breastfeeding process.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale

The client's respiratory rate of 10/min and absent deep-tendon reflexes are signs of magnesium sulfate toxicity, which can lead to respiratory depression and neuromuscular blockade. The nurse should stop the infusion immediately.

A Monitoring blood glucose is important, but not a priority.

B. Magnesium sulphate toxicity is not an indication for emergency delivery.

C. Placing the client in Trendelenburg position is not appropriate in this situation. trendelenburg position could worsen respiratory depression and compromise the client's airway.

A. "Preterm newborns have a smaller body surface area than normal newborns." B. "Preterm newborns lack adequate temperature control mechanisms." C. "The heat in the incubator rapidly dries the sweat of preterm newborns." D. "The added brown fat layer in a preterm newborn reduces his ability to generate heat.

Correct Answer is B

Explanation

Preterm newborns have immature physiological mechanisms to regulate their body temperature effectively which include subcutaneous fat deposition, fully developed sweat glands, and the ability to shiver. They also have a large surface area increasing heat loss. As a result, preterm

infants are at a higher risk of hypothermia. Incubator care assist in the control of body temperature in the premature neonates.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. The father of the newborn asks the nurse why this is necessary. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

A nurse is assessing a newborn. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?

A nurse is providing teaching to the mother of a newborn born small for gestational age. Which of the following should the nurse include as a possible cause of this condition?

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?