A client treated for preterm labor is to be discharged to home. Which instruction should a nurse include in this client’s discharge plan? The client should:.

Document urine output hourly.

Avoid sexual intercourse.

Maintain a darkened, quiet environment.

Eat small, frequent meals.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. The client should avoid sexual intercourse. Sexual intercourse may stimulate uterine contractions and increase the risk of preterm labor. The client should also avoid activities that may cause dehydration, infection, or stress.

Choice A is wrong because documenting urine output hourly is not necessary for a client with preterm labor who is discharged home. Urine output may be affected by hydration status, kidney function, or medication use, but it is not a reliable indicator of preterm labor.

Choice C is wrong because maintaining a darkened, quiet environment is not required for a client with preterm labor who is discharged home. The client may benefit from rest and relaxation, but there is no evidence that light or noise affects preterm labor.

Choice D is wrong because eating small, frequent meals is not specific to a client with preterm labor who is discharged home. Eating small, frequent meals may help with nausea, heartburn, or blood sugar control, but it does not prevent preterm labor.

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Correct Answer is C

Explanation

The correct answer is choice C. Dryness and flaking of the skin on the hands and feet.This is because a newborn with a gestational age of 42 weeks is considered post-mature and has lost the protective vernix caseosa that covers the skin of most newborns.The skin of a post-mature newborn is also more exposed to the amniotic fluid, which can cause it to peel and crack.

Choice A is wrong because sole creases that cover only the anterior one-third of the foot are characteristic of a preterm newborn, not a post-mature one.

Choice B is wrong because vernix caseosa is abundant in preterm newborns and decreases as gestational age increases.A post-mature newborn would have little or no vernix caseosa on the skin.

Choice D is wrong because a large amount of fine, downy hair (lanugo) on the back and shoulders is also typical of a preterm newborn, not a post-mature one.Lanugo usually disappears by 36 weeks of gestation.A post-mature newborn would have little or no lanugo on the body.

A. A symptom of an endocrine disorder. B. In response to the need for chromosomal determination of gender identity. C. Related to the influence of maternal hormones. D. A symptom of an abnormal proliferation of mammary alveoli.

Correct Answer is C

Explanation

The correct answer is choice C: Related to the influence of maternal hormones.This is because breast milk contains many hormones that pass into it from the mother’s body, such as prolactin, thyroid hormones, and estrogen.

These hormones can affect the baby’s growth and development, and sometimes cause temporary breast enlargement and milk secretion in newborns of both sexes.This is called neonatal galactorrhea or “witch’s milk” and it is harmless and usually resolves within a few weeks

Choice A is wrong because neonatal galactorrhea is not a symptom of an endocrine disorder.It is a normal physiological response to maternal hormones that cross the placenta during pregnancy and are present in breast milk

Choice B is wrong because neonatal galactorrhea is not related to the need for chromosomal determination of gender identity.Gender identity is determined by a complex interaction of genetic, hormonal, and environmental factors, and it is not influenced by breast milk production in newborns

Choice D is wrong because neonatal galactorrhea is not a symptom of an abnormal proliferation of mammary alveoli.

Mammary alveoli are the milk-producing cells in the breast, and they are stimulated by prolactin to secrete milk.Neonatal galactorrhea does not indicate any abnormality in the structure or function of the mammary glands

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A client treated for preterm labor is to be discharged to home. Which instruction should a nurse include in this client’s discharge plan? The client should:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn with a gestational age of 42 weeks. Which finding would the nurse expect during the assessment of this newborn?

Correct Answer is C

Explanation

The mother of a 4-hour-old newborn reports to a nurse, “My son is producing breast milk.” The nurse’s response should be based on which understanding about newborn physiology? This is:.

Correct Answer is C

Explanation

In planning the postpartum care of a multipara who had a normal pregnancy, labor, and delivery, which factor should be considered? The client needs to have:

A baby boy is circumcised on the day of discharge. Which observation should the nurse make prior to the infant’s discharge?.

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The nurse instructs a class of postpartum women on methods to avoid nipple soreness while breastfeeding. Which comment by a class participant indicates the need for further instruction?

The nurse is assigned to care for the postpartum client during her shift. The nurse knows one of the most common risk factors for early (PPH) postpartum hemorrhage is uterine atony. When providing care, the nurse would plan to:.

A patient who is 33 weeks pregnant has been experiencing Braxton-Hicks contractions.Which information should the nurse include in responding to this patient?

During a regular clinic visit, a patient who is 28 weeks pregnant reports leg cramps. The nurse teaches the patient measures to relieve the cramps. Which statement would indicate that the patient understands the teaching?

On her second postpartum day, the mother of a newborn says, “The doctor says the baby has physiologic jaundice. Even though it is supposed to be normal, I don’t understand why it occurs.” Which fact regarding physiologic jaundice should form the basis of the nurse’s response?