A nurse is assessing a postpartum client who delivered vaginally without complications and has chosen not to breastfeed her newborn infant.

Which of these findings would indicate that lactation suppression has been successful?

Breasts are soft without engorgement or leakage

Breasts are firm with mild tenderness or leakage

Breasts are hard with moderate pain or leakage

Breasts are swollen with severe pain or leakage.

Answer and Explanation

The Correct Answer is A

Breasts are soft without engorgement or leakage. This indicates that lactation suppression has been successful and the woman is not experiencing any discomfort or risk of infection from milk accumulation.

Breasts are firm with mild tenderness or leakage is wrong because it suggests that lactation is still occurring and the woman may need to express some milk for comfort or use other non-pharmacological methods to suppress it.

Breasts are hard with moderate pain or leakage is wrong because it indicates that the woman is suffering from breast engorgement, which can lead to mastitis if not treated. The woman may need pharmacological intervention to suppress lactation and relieve pain.

Breasts are swollen with severe pain or leakage is wrong because it shows that the woman has developed mastitis, which is a bacterial infection of the breast tissue that requires antibiotics and analgesics. The woman may also need to drain the infected breast by expressing milk or using a pump.

Normal ranges for lactation suppression vary depending on the individual and the method used. Generally, lactation suppression can take from a few days to a few weeks.

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Correct Answer is B

Explanation

Cover the newborn’s eyes with a mask or shield.This is because phototherapy can cause eye damage and the mask or shield protects the newborn’s eyes from the light.

Some additional explanations are:

• Choice A is wrong because increasing fluid intake by 25% to prevent dehydration is not necessary for a newborn receiving phototherapy.The newborn should be fed on demand or according to a regular schedule and monitored for signs of dehydration such as poor skin turgor, dry mucous membranes, sunken fontanels, and decreased urine output.

• Choice C is wrong because applying lotion or oil to the newborn’s skin to prevent drying is not recommended for a newborn receiving phototherapy.Lotion or oil can increase the absorption of light and cause skin burns.

• Choice D is wrong because turning off the phototherapy lights during feedings is not advised for a newborn receiving phototherapy.The lights should be on continuously to maximize the effectiveness of the treatment and reduce the duration of exposure.

A. Hemoglobin level of 11 g/dL B. Serum calcium level of 8 mg/dL C. Serum bilirubin level of 15 mg/dL D. Serum sodium level of 130 mEq/L

Correct Answer is A

Explanation

Hemoglobin level of 11 g/dL.This is within the normal range for a newborn, which is 13.4-19.9 g/dL for the first month.

Hemoglobin is the oxygen-carrying protein in red blood cells.

Choice B is wrong because serum calcium level of 8 mg/dL is below the normal range for a newborn, which is 8.5-10.6 mg/dL for the first month.

Calcium is important for bone health and muscle function.

Choice C is wrong because serum bilirubin level of 15 mg/dL is above the normal range for a newborn, which is less than 12 mg/dL for the first week.

Bilirubin is a waste product from the breakdown of red blood cells.

High levels can cause jaundice, a yellowing of the skin and eyes.

Choice D is wrong because serum sodium level of 130 mEq/L is below the normal range for a newborn, which is 135-145 mEq/L.

Sodium is an electrolyte that helps regulate fluid balance and nerve impulses.

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A nurse is assessing a postpartum client who delivered vaginally without complications and has chosen not to breastfeed her newborn infant. Which of these findings would indicate that lactation suppression has been successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A nurse is assessing a postpartum client who delivered vaginally without complications and has chosen not to breastfeed her newborn infant.

Which of these findings would indicate that lactation suppression has been successful?