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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Urinary frequency typically begins early in pregnancy due to hormonal changes and increased blood volume leading to more fluid being processed by the kidneys and ending up in the bladder. While it often improves in the second trimester as the uterus rises into the abdominal cavity, poor bladder tone is not typically cited as a reason for its continuation.
Choice B reason:
While urinary frequency can be seen as a minor inconvenience, it should not be ignored. It is a normal physiological change during pregnancy. However, if it is accompanied by pain, burning, or any other symptoms, it could indicate a urinary tract infection, which requires medical attention.
Choice C reason:
There is some predictability to urinary frequency in pregnancy. It often starts in the first trimester, improves in the second, and may return in the third trimester as the growing baby and uterus exert pressure on the bladder.
Choice D reason:
This choice is accurate. Urinary frequency is common in the first trimester due to hormonal changes and the growing uterus pressing on the bladder. It often returns in the third trimester when the baby "drops" and the head presses on the bladder. This is a normal part of pregnancy and usually does not indicate any complications.
Correct Answer is C
Explanation
Choice A Reason:
It is not necessary to avoid food and fluids the day of the procedure unless specifically instructed by the healthcare provider. Amniocentesis does not typically require fasting; however, some facilities may have different protocols.
Choice B Reason:
A bowel prep protocol is not required for an amniocentesis. This procedure is unrelated to the gastrointestinal tract, and bowel preparation is more commonly associated with procedures like colonoscopy.
Choice C Reason:
Emptying the bladder immediately prior to the procedure is important. A full bladder can obstruct the view of the uterus during ultrasound, which is used to guide the amniocentesis needle. Additionally, an empty bladder reduces the risk of accidental puncture during the procedure.
Choice D Reason:
Washing the abdomen with soap and water the morning of the procedure is a good hygiene practice but is not specifically required for amniocentesis. The area will be cleaned with antiseptic by the healthcare provider before the procedure.
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