A nurse is evaluating a client who just attended a breastfeeding class. Which of the following statements by the client demonstrates that she has understood the teaching?
"I will make sure that my baby has at least six wet diapers a day."
"I can reuse any breast milk my baby does not drink for the next feeding."
"I will feed my baby each time he cries."
"I can give my baby water following each feeding.”
The Correct Answer is A
A. "I will make sure that my baby has at least six wet diapers a day.": After the first week of life, at least six wet diapers per day indicates adequate hydration and sufficient breast milk intake. Urine output is a reliable indicator of effective breastfeeding and appropriate milk transfer. Monitoring diaper count helps assess nutritional adequacy.
B. "I can reuse any breast milk my baby does not drink for the next feeding.": Once a baby has fed from a bottle, bacteria from the infant’s mouth can contaminate the remaining milk. Reusing leftover milk increases the risk of bacterial growth and infection. Expressed breast milk that has been partially consumed should be discarded.
C. "I will feed my baby each time he cries.": Crying is a late sign of hunger. Early hunger cues include rooting, sucking motions, and hand-to-mouth movements. Waiting until the infant cries may make latching more difficult and interfere with effective feeding.
D. "I can give my baby water following each feeding.": Exclusively breastfed infants do not require supplemental water. Breast milk provides adequate hydration, even in warm climates. Giving water can interfere with feeding patterns and may lead to inadequate caloric intake or electrolyte imbalance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Terbutaline: Terbutaline is a beta-agonist used to relax the uterus in cases of preterm labor or to manage uterine hyperstimulation, which would worsen postpartum bleeding. It is contraindicated in postpartum hemorrhage because it inhibits uterine contractions needed to control bleeding.
B. Methylergonovine: Methylergonovine is a uterotonic medication that stimulates sustained uterine contractions, promoting uterine tone and helping to control postpartum hemorrhage. It is used when hemorrhage results from uterine atony and is contraindicated in clients with hypertension or preeclampsia due to vasoconstrictive effects.
C. Magnesium sulfate: Magnesium sulfate is used primarily for seizure prophylaxis in preeclampsia and for tocolysis in preterm labor. It relaxes smooth muscle, including the uterus, which would exacerbate postpartum bleeding rather than treat it.
D. Nifedipine: Nifedipine is a calcium channel blocker used as a tocolytic to inhibit preterm labor. It decreases uterine contractions and is therefore inappropriate for managing postpartum hemorrhage, as it would reduce uterine tone and increase bleeding risk.
Correct Answer is D
Explanation
A. An employee is using a bassinet to move a newborn from the nursery to the mother's room: Transporting a newborn in a bassinet within the unit is standard practice and does not indicate a security breach. Employees are trained to move infants safely between nursery and mother’s room as part of routine care.
B. An individual is wearing an identification badge without a photograph: While a photo badge is important for verifying identity, encountering someone without a photo badge does not immediately indicate a security threat. The nurse should verify the individual’s credentials, but it does not warrant activating a facility-wide security alert.
C. A parent requests that an individual who plans to perform tests on their newborn be identified: This situation involves parental verification of personnel, which is part of routine patient rights and safety practices. It does not represent a security breach requiring an alert, but staff should provide appropriate identification and explanations.
D. A newborn in a client's room is missing one of its identification bands: Missing identification bands on a newborn is a serious safety concern and indicates a potential risk for misidentification or abduction. This situation requires immediate initiation of a security alert according to hospital policy to protect the infant and notify appropriate security personnel.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
