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 B

Explanation

The correct answer is choice B.

Choice A rationale:

Brownish vaginal discharge can be a sign of labor but it is not definitive.

Choice B rationale:

Cervical dilation is a definitive sign that labor has started.

Choice C rationale:

Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.

Choice D rationale:

Pain above the umbilicus is not a typical sign of labor.

A. "I should crush cabbage leaves and place them on my breasts.”. . B. "I should apply hot packs to my breasts during feeding.”. . C. "I will apply ice packs to my breasts after feeding.”. . D. "I will breastfeed every 2 hours.”.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.

Choice B rationale:

Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.

Choice C rationale:

Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.

Choice D rationale:

Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.

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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

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A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.Which of the following findings confirm to the nurse that the client is in labor?.

Correct Answer is B

Explanation

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.Which of the following statements by the client indicates a need for further teaching?.

Correct Answer is B

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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?.