A nurse is caring for a client who is 1 day postpartum. The client tells the nurse, "The baby has been breathing funny, fast and slow, off and on." Which of the following responses should the nurse make?

"There's absolutely nothing for you to worry about. Newborns often breathe like this."

"I'll sit here while you feed him and we'll check out his breathing."

"You are going to be a very good, responsible mother to this baby."

"All new mothers feel a bit anxious about things like this."

Answer and Explanation

The Correct Answer is B

Choice A rationale: While it's true that newborns can have irregular breathing patterns, this response may come across as dismissive and not addressing the client's concerns.
Choice B rationale: The nurse should respond by actively listening to the client's concerns and offering to assess the newborn's breathing while they are feeding. Newborns can have irregular breathing patterns, including periods of rapid breathing (tachypnea) and pauses in breathing (periodic breathing). These patterns are generally normal and related to the baby's immature respiratory system adjusting to life outside the womb.
Choice C rationale: This response does not address the client's concern about the baby's breathing and instead focuses on the client's potential as a mother.
Choice D rationale: This response may minimize the client's concerns and does not address the baby's breathing issue. It's essential to acknowledge and assess the newborn's breathing pattern to ensure it is within the normal range.

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Correct Answer is C

Explanation

Choice A rationale: RhoGAM is not given solely based on blood loss. It is administered to prevent Rh isoimmunization, which is unrelated to the amount of blood loss.
Choice B rationale: If the client has previously given birth to an Rh-negative infant, she is already sensitized and would not require RhoGAM for this current ectopic pregnancy.
Choice C rationale: Rho(D) Immune globulin (RhoGAM) is given to Rh-negative individuals to prevent the development of Rh isoimmunization, which could occur if the client is exposed to Rh-positive blood. In the case of an ectopic pregnancy, there may be a possibility of fetal blood mixing with the mother's bloodstream, which could lead to sensitization in an Rh-negative individual.
Choice D rationale: The desire to conceive again does not dictate the need for RhoGAM. It is solely based on the client's Rh factor status and the potential for sensitization during the ectopic pregnancy.

A. "You should feed your newborn formula every 2 hours." B. If you breastfeed your newborn, expect two to three stools per day." C. "You should breastfeed your newborn five to seven times each day." D. "If you give formula to your newborn, expect at least one stool every 3 days."

Correct Answer is C

Explanation

Choice A rationale: Feeding a formula every 2 hours is not recommended and may lead to overfeeding. Newborns generally feed on demand, and the frequency of feeding can vary.
Choice B rationale: Breastfed newborns may have more frequent bowel movements, sometimes after each feeding. Two to three stools per day would be on the lower side of the normal range for breastfed infants.
Choice C rationale: Breastfeeding newborns typically need to feed frequently to establish a good milk supply and ensure adequate nutrition. Newborns often feed about 8 to 12 times in a 24-hour period, which translates to approximately five to seven times during the day and night.
Choice D rationale: Formula-fed newborns typically have more regular bowel movements compared to breastfed babies. Expecting only one stool every three days in a formula-fed newborn could indicate constipation, and it is not the expected norm.

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A nurse is caring for a client who is 1 day postpartum. The client tells the nurse, "The baby has been breathing funny, fast and slow, off and on." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the immediate postoperative period following the removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D) Immune globulin?

Correct Answer is C

Explanation

A nurse is reinforcing discharging teaching with a client who is 2 days postpartum. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hr ago. The nurse should identify which of the following findings places the client at risk for a postpartum hemorrhage.

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