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.”.

Answer and Explanation

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.

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Correct Answer is D

Explanation

The correct answer is choice D. Presence of human chorionic gonadotropin (hCG) in blood.This is apositive sign of pregnancythat can only be attributed to a fetus.hCG is a hormone produced by the placenta that can be detected in blood or urine tests.

Choice A. Quickening.This is apresumptive sign of pregnancythat is based on the woman’s report of feeling fetal movements in her lower abdomen.This can occur at 16 weeks for second time moms and around 20 weeks for first time moms.However, this sign is not conclusive as other conditions can cause similar sensations.

Choice B. Uterine enlargement.This is aprobable sign of pregnancythat can be observed by the nurse or doctor through palpation.However, this sign does not mean 100% that a baby is growing in the uterus as it can be due to other causes such as fibroids or tumors.

Choice C. Urinary frequency.This is apresumptive sign of pregnancythat is based on the woman’s report of needing to urinate more often than usual.This can be caused by hormonal changes and increased blood volume during pregnancy.However, this sign is not definitive as other conditions such as urinary tract infections or diabetes can also cause frequent urination.

A. Carbohydrates should make up no more than 25% of the total dietary intake. B. Animal protein should not be included in the pre-bedtime snack. C. Caloric intake should be 300 calories above the suggested non-pregnant caloric intake. D. Use of a sugar substitute will help to control blood glucose levels.

Correct Answer is A

Explanation

The correct answer is choice C. Caloric intake should be 300 calories above the suggested non-pregnant caloric intake.This is because women with gestational diabetes need to meet the nutritional needs of pregnancy and also control their blood glucose levels.

Choice A is wrong because carbohydrates should make up about 45% of the total dietary intake for women with gestational diabetes, not 25%.

Carbohydrates are important for providing energy and nutrients for the mother and the baby.

Choice B is wrong because animal protein can be included in the pre-bedtime snack as long as it is combined with some carbohydrates.

Protein can help prevent low blood glucose levels during the night.

Choice D is wrong because sugar substitutes do not help to control blood glucose levels.They may also have adverse effects on the baby’s development.Women with gestational diabetes should limit their intake of added sugars and choose foods with natural sugars instead.

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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?

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Naxlex Comprehensive Predictor Exams

A client is at the antepartal clinic for a pregnancy test.Which finding, if present, would be considered a positive sign of pregnancy?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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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?