A new mother is breastfeeding and concerned that she has no milk for baby. One way you can show her that she does have milk or colostrum is by teaching her:

Manual Expression

Massaging breast to bring milk to the nipple

Using a nipple shield

Keeping infant skin to skin

Answer and Explanation

The Correct Answer is A

A) Manual Expression:
Manual expression is an excellent way to show a new mother that she does have milk or colostrum. By gently massaging and expressing the breast, the mother can see or feel the small amount of colostrum being released. This helps reassure her that milk production has begun, even if it’s not abundant right away. Colostrum is often produced in small amounts during the first few days postpartum, and learning how to express it can provide immediate visual confirmation that milk is available for the baby.

B) Massaging breast to bring milk to the nipple:
While massaging the breast can help facilitate the milk ejection reflex (let-down), it doesn’t necessarily show the mother that she has milk. The milk flow may not be immediately visible without manual expression. The process of massaging can help increase milk flow over time but is not the most effective way to demonstrate the presence of colostrum in the immediate postpartum period.

C) Using a nipple shield:
A nipple shield can sometimes be used to help babies latch more effectively if there are latch issues, but it won’t directly show the mother that she has milk or colostrum. In fact, frequent use of a nipple shield without proper latching technique can interfere with establishing breastfeeding. It’s more important to help the mother with proper latching and positioning, along with demonstrating manual expression.

D) Keeping infant skin to skin:
Skin-to-skin contact is incredibly beneficial for bonding and promoting breastfeeding, as it stimulates the release of oxytocin and encourages the baby to latch. However, it does not directly show the mother that she has milk or colostrum. While it can help initiate milk production, manual expression provides a more direct and immediate way to demonstrate that milk is available.

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Correct Answer is A

Explanation

A) Postpartum blues are transient and usually occur within the first week after delivery:
Postpartum blues, also known as "baby blues," are common and generally transient. They typically occur within the first few days to a week after delivery and can last for a few days to a week or two. Symptoms may include mood swings, irritability, crying, anxiety, and difficulty sleeping. These feelings are normal and typically resolve without the need for medical intervention. It's important for the nurse to provide reassurance that this is a common experience for many new mothers and that it is usually temporary.

B) Medications are available to relieve the symptoms:
While medications may be necessary for more severe postpartum mood disorders, such as postpartum depression, they are not typically required for postpartum blues. Since postpartum blues are mild and transient, most women do not need medications. Psychosocial support and rest are usually sufficient. Medications, especially antidepressants, are considered for women who develop postpartum depression, which is more persistent and severe than postpartum blues.

C) The father may become sad and weepy:
While fathers can experience emotional changes during the postpartum period, the phenomenon of postpartum blues is specific to the mother due to the hormonal and physiological changes related to childbirth and breastfeeding. Fathers may experience mood changes due to the stresses of parenthood, but postpartum blues is typically not recognized as a condition affecting men. However, men can experience postpartum depression or anxiety, which warrants different attention and support.

D) Very few women experience postpartum blues:
On the contrary, postpartum blues is very common, affecting a large percentage of women after childbirth. Studies show that 50-80% of women experience some form of postpartum blues. This makes the statement incorrect. It's important to normalize the experience and emphasize that it is a common and temporary reaction to the changes associated with childbirth.

Correct Answer is ["0.5"]

Explanation

Given:

Desired dose: Vitamin K 0.5 mg IM

Available concentration: Vitamin K 1 mg/1 mL

To find:

Volume to administer (in mL)

Step 1: Set up the proportion

We can use the following proportion to solve the problem:

(Desired dose) / (Available concentration) = Volume to administer

Step 2: Substitute the values

Plugging in the given values, we get:

(0.5 mg) / (1 mg/1 mL) = Volume to administer

Step 3: Simplify

To simplify, we can invert the denominator and multiply:

(0.5 mg) x (1 mL / 1 mg) = Volume to administer

The "mg" units cancel out, leaving us with:

(0.5 x 1 mL) / 1 = Volume to administer

Step 4: Calculate

Performing the multiplication and division, we get:

0.5 mL / 1 = Volume to administer

0.5 mLVolume to administer

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A new mother is breastfeeding and concerned that she has no milk for baby. One way you can show her that she does have milk or colostrum is by teaching her:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion?

Correct Answer is A

Explanation

The nurse is going to administer a dose of Vitamin K (Aquamephyton) 0.5mg IM to a newborn. Available: Vitamin K 1 mg/1ml. How many mLs would the nurse administer? (Please answer numerically only)

Correct Answer is ["0.5"]

Explanation

A full term newborn was just born. Which nursing intervention is important for the nurse to perform first?

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A nurse is giving discharge instructions to a new mother. What is the most important instruction to address the prevention of postpartum infection?

Which documentation on a woman's chart after postpartum day 14 indicates a normal involution process?

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Which of the following findings would be most concerning to the nurse caring for a newborn?

As part of the postpartum assessment, the nurse examines the breasts of a primiparous (first baby) breastfeeding woman who is 1 day postpartum. Which of the following findings should the nurse anticipate?