A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.
The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.

"Your baby should wet 6 to 12 diapers per day.”. .

"Your baby should have a wake cycle of 30 to 60 minutes after each feeding.”. .

"Your baby should sleep at least 6 hours between feedings.”. .

"Your baby should burp after each feeding.”.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A.

Choice A rationale:

A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.

Choice B rationale:

A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.

Choice C rationale:

A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.

Choice D rationale:

While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Rho (D) immunoglobulin is not administered when both the client and the newborn are Rh negative.

Choice B rationale:

Rho (D) immunoglobulin is not administered when both the client and the newborn are Rh positive.

Choice C rationale:

Rho (D) immunoglobulin is not administered when the client is Rh positive and the newborn is Rh negative.

Choice D rationale:

Rho (D) immunoglobulin is administered when the client is Rh negative and the newborn is Rh positive. Therefore, this choice is correct.

A. Evaluate the firmness of the uterus (fundus). B. Obtain a type and crossmatch. C. Administer oxytocin infusion. D. Initiate oxygen therapy by nonrebreather mask.

Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

Evaluating the firmness of the uterus (fundus) is the first action the nurse should take when a client’s blood pressure drops postpartum. A soft or “boggy” uterus can indicate uterine atony, a leading cause of postpartum hemorrhage, which can lead to hypotension.

Choice B rationale:

Obtaining a type and crossmatch is important if the client needs a blood transfusion, but it is not the first action the nurse should take.

Choice C rationale:

Administering oxytocin infusion can help contract the uterus and control bleeding, but the nurse should first assess the uterus.

Choice D rationale:

Initiating oxygen therapy can help if the client is hypoxic, but the nurse should first assess the uterus.

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A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.The nurse should verify which of the following prior to administration?.

Correct Answer is D

Explanation

A nurse is caring for a client who gave birth 2 hr ago.The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?.

Correct Answer is A

Explanation

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?.

A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.Which signs and symptoms would the nurse include? Select all that apply.

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.This is her 4th pregnancy.She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

A nurse is caring for a pregnant client in labor in a health care facility.The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?

A nurse is teaching a client about positive signs of pregnancy.Which of the following findings should the nurse include?

A nurse is caring for a client on the second day postpartum.The client informs the nurse that she is voiding a large volume of urine frequently.Which factor should the nurse identify as a potential cause for urinary frequency?.

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.
The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.