A client asks a nurse about breastfeeding, and the nurse discusses the topic with her.
Which statement by the client indicates she needs further instruction?
“A breastfed baby is likely to gain weight more rapidly in the first month of life.”.
“I will still need birth control while I breastfeed to avoid pregnancy.”.
“A breastfed baby is less likely to develop allergies.”.
“I will need to increase the amount of fluid I drink while I breastfeed.”.
“I will need to increase the amount of fluid I drink while I breastfeed.”.
The Correct Answer is A
The correct answer is choice A. A breastfed baby is likely to gain weight more rapidly in the first month of life. This statement is wrong because breastfed babies generally gain weight faster than formula-fed babies for the first 3 months of life. They also double their birth weight by 3-4 months and triple it by one year.
Therefore, a breastfed baby’s weight gain in the first month of life is not unusual or concerning.
Choice B is correct because breastfeeding is not a reliable method of birth control. A woman can still ovulate and become pregnant while breastfeeding, especially if she feeds her baby less frequently or supplements with formula or solids.
Choice C is correct because breastfeeding has been shown to reduce the risk of allergies in babies. Breast milk contains antibodies and other immune factors that protect the baby from infections and allergic reactions.
Choice D is correct because breastfeeding mothers need to drink enough fluids to stay hydrated and produce enough milk. The recommended fluid intake for breastfeeding mothers is about 13 cups (3 liters) per day.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A and it indicates fetal distress because it is a sign oflate deceleration.Late decelerations are due touteroplacental insufficiencyas the result of decreased blood flow and oxygen to the fetus during the uterine contractions.This causeshypoxemiaand can lead to fetal acidosis and neurological damage.
Choice B is wrong because it indicates anormal variabilityin the fetal heart rate, which reflects a healthy autonomic nervous system.A normal fetal heart rate is 120-160 beats per minute.
Choice C is wrong because it indicates anearly accelerationin the fetal heart rate, which is a benign finding that may occur with fetal movement or stimulation.
Choice D is wrong because it indicates anearly decelerationin the fetal heart rate, which is a normal response to fetal head compression during contractions.
It does not indicate fetal distress.
Normal ranges for fetal heart rate patterns are:
• Baseline: 120-160 beats per minute
• Variability: 6-25 beats per minute
• Accelerations: at least 15 beats per minute above baseline for at least 15 seconds
• Decelerations: none or early (mirror contractions)
Correct Answer is A
Explanation
The correct answer is choice A. Maintaining the infants’ airways is the nurse’s priority when caring for a set of twins delivered by cesarean delivery.This is because twins are more likely to be born early and need special care after birth than single babies.They may have breathing difficulties or low oxygen levels and require oxygen therapy or ventilation.
The nurse should assess the infants’ respiratory status and intervene as needed.
Choice B is wrong because keeping the infants in a warm, draft-free environment is important but not as urgent as ensuring their airways are clear and they are breathing well.Premature twins may have trouble regulating their body temperature and need to be kept warm, but this can be done after their airways are secured.
Choice C is wrong because placing identification bands on the infants is a standard procedure but not a priority.
The nurse should make sure the infants are correctly identified and matched with their mother, but this can be done after their vital signs are stable.
Choice D is wrong because monitoring the infants’ vital signs is also important but not as urgent as maintaining their airways.
The nurse should check the infants’ heart rate, blood pressure, temperature and blood sugar levels regularly, but this can be done after their respiratory status is assessed and managed.
Normal ranges for vital signs in newborns are:
• Heart rate: 100 to 160 beats per minute
• Blood pressure: 50 to 75 mm Hg systolic and 30 to 45 mm Hg diastolic
• Temperature: 36.5 to 37.5°C (97.7 to 99.5°F)
• Blood sugar: 40 to 80 mg/dL
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