A mother who is six weeks postpartum reports to the home health nurse that her milk supply seems to be diminishing.
The nurse notices that the mother’s 16-month-old child is constantly vying for her attention.
What is the best advice the nurse can provide to help the mother with breastfeeding while also caring for a toddler?
Have the 16-month-old child play in another room during breastfeeding.
Read a book to the 16-month-old child while the mother is breastfeeding the infant.
Encourage the toddler to watch TV while the mother is breastfeeding the baby.
Give the toddler crayons and paper while the mother is breastfeeding the infant.
The Correct Answer is B
Answer and explanation The correct answer is B. Choice A rationale
Having the 16-month-old child play in another room during breastfeeding might not be feasible or safe, depending on the child’s maturity and the safety of the environment.
Choice B rationale
Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.
Choice C rationale
While watching TV might keep the toddler occupied, it’s not the best option. Excessive screen time is not recommended for children at this age.
Choice D rationale
Giving the toddler crayons and paper is a good idea, but it might not keep the child engaged for the entire duration of the breastfeeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
Choice B rationale
While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.
Choice C rationale
Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.
Choice D rationale
Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
While the discussion of food exchanges and calories being well-attended indicates interest and engagement in the class, it does not necessarily reflect an improvement in the clients’ management of their diabetes.
Choice B rationale
Parking convenience for attendees, while important for accessibility and attendance, does not provide information about the effectiveness of the classes in improving diabetes management.
Choice C rationale
Demonstrating the use of a blood glucose meter can be an effective teaching strategy, but it does not provide measurable outcomes related to the clients’ diabetes control.
Choice D rationale
Fasting blood glucose average readings being 20% lower at the end of the classes is a direct and measurable outcome that indicates improved diabetes control. This suggests that the classes were effective in teaching clients how to better manage their type 2 diabetes.
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