A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
offer supplemental formula between the newborn's feedings.
Have the client limit the length of breastfeeding to 5 min per breast.
Instruct the client to wait 4 hr between daytime feedings.
Assess the newborn's latch while breastfeeding.
The Correct Answer is D
This
suggests that the nurse should assess the newborn's latch while breastfeeding. Sore nipples are a common concern among breastfeeding mothers, and the most common cause is an improper latch. The nurse should ensure that the baby is latching on correctly and not causing trauma to the mother's nipples. A proper latch involves the baby taking in a good portion of the areola and not just the nipple. Assessing the newborn's latch can help identify any issues with the baby's mouth or tongue that may be causing difficulty latching on. If the baby is not latching correctly, the nurse can provide education and support to help the mother correct the issue. Offering supplemental formula between feedings (choice A) is not recommended as it can decrease the frequency of breastfeeding and reduce the stimulation for milk production, leading to decreased milk supply. Instructing the client to wait 4 hours between daytime feedings (choice C) is not recommended as it can decrease milk production and lead to inadequate nutrition for the newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D, Sharp pelvic pain. An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus, most commonly in the fallopian tube. Sharp pelvic pain is a classic sign of an ectopic pregnancy, as the developing embryo can cause the tube to rupture or stretch, leading to pain. A scaphoid abdomen, elevated blood pressure, and bright red vaginal discharge are not typical manifestations of an ectopic pregnancy. 
Correct Answer is B
Explanation
administer a bolus infusion of lactated Ringer's. Maternal hypotension is a common complication of epidural anesthesia. A bolus infusion of lactated Ringer's is an appropriate intervention for maternal hypotension due to the increased volume and pressure it provides, which can help to raise the client's blood pressure. The knee-chest position is not an appropriate intervention for maternal hypotension as it can cause a decrease in venous return to the heart. Terbutaline is a tocolytic medication used to stop premature labor, and it is not indicated for maternal hypotension. Oxygen via a nonrebreather face mask at 2 L/min is not an appropriate intervention for maternal hypotension as it does not address the underlying cause of the hypotension.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today