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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."

A.

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

B.

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

C.

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

D.

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

E.

I can increase my milk supply by drinking more water.

F.

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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Related Questions

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

Explanation

B. This statement indicates the client understands the importance of monitoring the incision site for any signs of infection, such as discharge, and knows to seek medical attention if these signs occur.
D. This statement indicates the client understands that while some discomfort is normal after a cesarean birth, unrelieved or severe pain could be a sign of complications and should be addressed promptly.
A. Resting in a recliner may not provide adequate support or promote proper healing of the incision site.
C. While continuing prenatal vitamins may be beneficial for overall health, it is not directly related to the cesarean birth recovery process.
E. A fever during the first week at home is not a typical occurrence and may indicate an infection, which should be evaluated by a healthcare provider. Therefore, it is not accurate to expect a fever during this time.

Correct Answer is ["C","D","E"]

Explanation

Visual disturbances in a pregnant client could indicate conditions such as preeclampsia or gestational hypertension, which require immediate medical attention.

Monitoring the fetal heart rate is essential to assess fetal well-being, and any abnormalities in the fetal heart rate may require further evaluation by the provider.
Changes in blood pressure, especially elevated blood pressure, may indicate gestational hypertension or preeclampsia, which require monitoring and management by the provider. A significant weight gain of 3.2 kg (7 lb) over the last 2 weeks may indicate fluid retention or other issues that need assessment and intervention by the provider.

Deep tendon reflexes (option A) are not typically assessed routinely in antepartum care unless there are specific indications, such as signs of preeclampsia.

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