A nurse is providing discharge teaching to the mother of a newborn who is breastfeeding.

Which of the following statements should the nurse make?

"Newborns typically lose about 15 percent of their body weight following birth."

"You should keep your baby on a strict feeding schedule."

"You should consume an extra 650 calories a day while breastfeeding."

"Offer your baby a pacifier before sleep when he is 1 month old.".

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Newborns typically lose some weight after birth, but 15 percent loss would be excessive and concerning. A normal weight loss range is about 5 to 10 percent.

Choice B rationale:

Newborns should be fed on demand rather than adhering to strict schedules to ensure they are adequately nourished.

Choice C rationale:

Breastfeeding requires additional energy, and mothers are generally advised to consume around 500 extra calories a day to support milk production and their own energy needs.

Choice D rationale:

Offering a pacifier before sleep can reduce the risk of sudden infant death syndrome (SIDS), but this recommendation usually starts at around 1 to 2 months of age.

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Correct Answer is ["0816"]

Explanation

To calculate the estimated date of delivery using Nägele's rule, follow these steps:

-Add 7 days to the first day of the last menstrual period. In this case, November 9 + 7 days = November 16.

- Subtract 3 months from the month of the last menstrual period. In this case, November - 3 months = August.

The estimated date of delivery is August 16

The rationale for this rule assumes that the average menstrual cycle is 28 days long and that ovulation occurs on day 14 of the cycle. Therefore, adding 7 days to the first day of the last menstrual period approximates the date of conception. Subtracting 3 months from the month of the last menstrual period adjusts for the difference between the lunar calendar (13 months) and the Gregorian calendar (12 months).

A. Observe the client for 1 hr following meals. B. Encourage the client to gain 2.27 kg (5 lb) per week. C. Allow the client to exercise for less than 1 hr per day. D. weigh the client in the morning every other day. E. weigh the client in the morning every other day.

Correct Answer is A

Explanation

Choice A rationale:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

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A nurse is providing discharge teaching to the mother of a newborn who is breastfeeding. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)

Correct Answer is ["0816"]

Explanation

A nurse is developing a plan of care while admitting a client who has anorexia nervosa. Which of the following interventions should the nurse include?

Correct Answer is A

Explanation

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A nurse is providing discharge teaching to the mother of a newborn who is breastfeeding.

Which of the following statements should the nurse make?