A nurse is caring for a postpartum client.
Which of the following statements by the client indicates an understanding of the discharge teaching?
"Because of my baby's weight loss, I need to supplement with formula after breastfeeding."
"I should make sure that my baby feeds 8 to 12 times per day."
"I should cover my sore nipples with plastic-lined breast pads after every feeding."
"My baby's stools should turn to a yellow color within the next day or two." "I can increase my milk supply by drinking more water."
"I should expect my breasts to become harder. warmer, and more tender when my milk comes in."
Correct Answer : B,D,E
A. Supplementing with formula after breastfeeding due to perceived weight loss may indicate a misunderstanding of normal newborn feeding patterns and could potentially interfere with establishing a sufficient milk supply. Breastfeeding on demand and ensuring proper latch and
positioning are essential for successful breastfeeding. This statement suggests a need for further education about newborn feeding and breastfeeding management.
B. Breastfeeding frequency is crucial for establishing and maintaining milk supply. Newborns typically need to breastfeed at least 8 to 12 times per day to ensure they receive enough milk and to stimulate milk production in the mother's breasts. This statement indicates that the client
understands the importance of frequent feeding for successful breastfeeding.
C. While covering sore nipples with breast pads can provide comfort and protect clothing from leakage, using plastic-lined breast pads after every feeding may not be necessary and could
potentially worsen nipple discomfort. Plastic-lined breast pads can trap moisture, which may
contribute to nipple soreness or increase the risk of developing nipple thrush. Education may be needed to clarify appropriate nipple care and management of nipple discomfort during
breastfeeding.
D. Meconium stools, which are dark and sticky, are normal for newborns in the first few days of life. As the baby begins to digest breast milk, their stools transition from meconium to a yellow, seedy consistency. This statement indicates that the client understands what to expect regarding the color and consistency of their baby's stools after transitioning to breastfeeding.
E. This statement demonstrates an understanding of breast engorgement, a common occurrence when milk production increases in the breasts. Breasts may become harder, warmer, and more
tender when milk "comes in" or when lactation is established. Recognizing these signs indicates that the client is aware of normal changes in their body related to breastfeeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An apical heart rate of 130/min is within the normal range for a newborn and does not require further assessment by the provider.
B. Documenting this as an expected finding is appropriate as the normal range for a newborn's heart rate is typically between 120-160 beats per minute.
C. Asking another nurse to verify the heart rate may delay care unnecessarily, as the rate is within the expected range.
D. There is no indication to prepare the newborn for transport to the NICU based solely on an apical heart rate of 130/min, as this is within the normal range.
Correct Answer is B
Explanation
A. Using a suction catheter is appropriate but may not be the quickest method for immediate airway clearance in this situation.
B. Suctioning the mouth with a bulb syringe is the priority action as it helps clear the airway of secretions and prevents aspiration, ensuring the newborn can breathe effectively.
C. Turning the newborn on his side can help with drainage but does not actively clear the airway, making it a less immediate priority.
D. Suctioning the nose is important, but the mouth should be cleared first to ensure a patent airway, making this option secondary.
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