A client who is one day postpartum reports that her baby cannot latch onto the breast. The nurse observes that the client's nipples are inverted. Which action should the nurse implement?

Offer supplemental formula feedings.

Teach about the use of a breast pump.

Recommend using a breast shield.

Encourage the use of ice on the areola.

Answer and Explanation

The Correct Answer is C

Choice A reason: Offering supplemental formula feedings may not be the best initial approach for inverted nipples as it could lead to nipple confusion and interfere with breastfeeding.

Choice B reason: While teaching about the use of a breast pump is helpful for expressing milk, it does not directly address the issue of latching with inverted nipples.

Choice C reason: A breast shield can be beneficial for mothers with inverted nipples as it can help draw out the nipple, allowing the baby to latch on more effectively.

Choice D reason: Using ice on the areola is not a recommended practice for addressing inverted nipples as it can cause discomfort and is not a reliable method for improving latch.

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Free Nursing Study Resources

Correct Answer is ["400"]

Explanation

Step 1: Convert the volume of fluid to be infused from mL to L (since the rate is usually measured in mL/hr):

200 mL = 200 mL (No conversion needed as the volume is already in mL)

Step 2: Convert the time for infusion from minutes to hours (since the rate is usually measured in mL/hr):

30 minutes = 30 ÷ 60 = 0.5 hours

Step 3: Calculate the rate (volume ÷ time):

Rate = Volume ÷ Time

Rate = 200 mL ÷ 0.5 hours

Rate = 400 mL/hr

The nurse should program the infusion pump to deliver at a rate of 400 mL/hr.

A. Headache with blurred vision. B. Lower extremity edema. C. Paroxysmal supraventricular tachycardia. D. Frequent premature ventricular contractions.

Correct Answer is A

Explanation

Choice A reason: A headache with blurred vision following alteplase administration could indicate intracranial hemorrhage, which requires immediate intervention.

Choice B reason: Lower extremity edema is not typically an immediate concern post-alteplase administration unless it indicates a deep vein thrombosis.

Choice C reason: Paroxysmal supraventricular tachycardia requires monitoring, but it is not as urgent as a headache with blurred vision, which could signify a life-threatening complication.

Choice D reason: Frequent premature ventricular contractions should be monitored, but they are not as critical as a headache with blurred vision post-alteplase.

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A client who is one day postpartum reports that her baby cannot latch onto the breast. The nurse observes that the client's nipples are inverted. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["400"]

Explanation

Correct Answer is A

Explanation

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