A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?

Encourage the client to wear an underwire bra.

Have the client apply breast cream on a regular basis.

Provide plastic-lined breast pads.

Place breast shells in the client's bra.

Answer and Explanation

The Correct Answer is D

A. Wearing an underwire bra is not recommended for breastfeeding mothers, especially those with inverted nipples, as it can cause pressure and discomfort, potentially leading to blocked milk ducts and mastitis.
B. Applying breast cream regularly is not specifically beneficial for inverted nipples. It can help with nipple soreness or dryness, but it does not aid in drawing out inverted nipples.
C. Plastic-lined breast pads can help with leakage but do not address the issue of inverted nipples. They do not assist in reshaping or encouraging the protrusion of the nipples.
D. Placing breast shells in the bra can help draw out inverted nipples by applying gentle, consistent pressure around the areola, which encourages the nipples to protrude, making breastfeeding easier for the newborn.

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Correct Answer is []

Explanation

- Potential Condition: Hypoglycemia

- Rationale: The jitteriness and weak cry can be signs of hypoglycemia, which is common in newborns, especially those with higher birth weights or whose mothers have diabetes or, in this case, a history of substance use during pregnancy.

Actions to Take:

1. Reinforce with the parent to feed the newborn: Feeding can help to stabilize the newborn's blood sugar levels.

2. Anticipate a prescription to obtain a capillary blood sample: This will confirm the diagnosis by measuring the newborn's blood glucose levels.

Parameters to Monitor:

1. Temperature: To ensure the newborn maintains a normal body temperature, as hypothermia can be associated with hypoglycemia.

2. Respiratory status: To monitor for any changes that could indicate worsening of the condition or other complications.

A. Chronic hypertension B. Maternal age of 30 years C. Third pregnancy D. Prepregnancy BMI of 19

Correct Answer is A

Explanation

A. Chronic hypertension is a significant risk factor for preeclampsia. Pregnant clients with pre-existing high blood pressure are at increased risk for developing this condition, which can lead to complications for both the mother and the baby.
B. Maternal age of 30 years is not considered a high-risk factor for preeclampsia. Advanced maternal age (35 years and older) is more commonly associated with an increased risk.
C. The third pregnancy alone is not a risk factor for preeclampsia. First pregnancies or a history of preeclampsia in previous pregnancies are more relevant risk factors.
D. A prepregnancy BMI of 19 is within the normal weight range and is not associated with an increased risk of preeclampsia. Obesity or a high BMI is more closely linked to the development of preeclampsia.

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A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?

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