A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new mother states, "I don't want to take anything for pain because I am breastfeeding." Which of the following statements should the nurse make?
We can time your pain medication so that you have an hour or two before the next feeding.
You need to take pain medications so you are more comfortable.
All medications are found in breast milk to some extent.
You have the option of not taking pain medication if you are concerned.
The Correct Answer is A
Choice a) reason:
Timing the administration of pain medication can help minimize the amount of medication that passes into the breast milk. By scheduling pain relief around breastfeeding times, the nurse can ensure that the peak concentration of the medication in the blood (and therefore potentially in the milk) does not coincide with the baby's feeding times. This approach helps manage the mother's pain while also protecting the newborn from unnecessary exposure to medication.
Choice b) reason:
While managing pain is important for the mother's comfort and recovery, stating that she needs to take medication without considering her concerns about breastfeeding may not be supportive or respectful of her wishes. It's essential to address her concerns and provide options that align with her breastfeeding goals.
Choice c) reason:
It is true that all medications can be found in breast milk to some extent; however, the levels can vary widely based on the medication's properties. The nurse should provide information about the specific medication's safety during breastfeeding and discuss any potential risks with the mother.
Choice d) reason:
Informing the mother that she has the option of not taking pain medication addresses her autonomy in decision-making. However, it's also important for the nurse to discuss the potential consequences of untreated pain, such as impaired ability to care for the newborn and delayed recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice a) Reason: History of migraines
Women with a history of migraines may experience an improvement or worsening of their migraine symptoms during pregnancy. Hyperemesis gravidarum, a condition characterized by severe nausea and vomiting, can be associated with migraines due to hormonal changes, stress, or dehydration that pregnancy may exacerbate.
Choice b) Reason: History of gestational hypertension
Gestational hypertension typically develops after 20 weeks of gestation, so it would not be expected in a client at 8 weeks of gestation. Additionally, there is no direct correlation between gestational hypertension and hyperemesis gravidarum.
Choice c) Reason: Twin gestations
Twin or multiple gestations can increase the likelihood of hyperemesis gravidarum due to higher levels of hCG (human chorionic gonadotropin) and other pregnancy-related hormones. These elevated hormone levels are associated with more severe nausea and vomiting.
Choice d) Reason: Nulliparous
Nulliparity (having never given birth) is not directly associated with an increased risk of hyperemesis gravidarum. However, first-time pregnancies can be unpredictable, and the condition can occur regardless of parity.
Choice e) Reason: Oligohydramnios
Oligohydramnios refers to a decreased amount of amniotic fluid and is not typically associated with hyperemesis gravidarum. It is more commonly related to conditions affecting the placenta or fetal kidneys.
Correct Answer is B
Explanation
Choice A reason:
The left lower quadrant is not typically where fetal heart tones are auscultated when the round, firm part of the fetus (usually the head) is palpated in the fundus and the long smooth surface (indicative of the back) is on the right side. Fetal heart tones are best heard through the back of the fetus, and in this position, the back is not located in the left lower quadrant.
Choice B reason:
The right upper quadrant is the correct location to auscultate fetal heart tones in this scenario. The Leopold's maneuvers suggest that the fetus is in a cephalic presentation with its back facing the right side of the mother's abdomen. Therefore, the fetal heart tones are most likely to be heard in the right upper quadrant, just below the level of the fundus.
Choice C reason:
The right lower quadrant is generally not the area to auscultate fetal heart tones if the fetus's back is on the right side and the head is in the fundus. The heart tones are typically higher up and closer to where the back is palpated.
Choice D reason:
The left upper quadrant would not be the correct place to find fetal heart tones given the described position of the fetus. With the back on the right side, auscultation on the left would not yield the clear heart tones expected.
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