A nurse is providing teaching to a client who gave birth 8 hr ago and is exclusively breastfeeding. Which of the following information should the nurse include?
"Avoid eating seafood to minimize risk to the newborn.”
“Wait 1 hour to breastfeed after consuming alcohol."
"Consume additional calories each day to support milk production.”
"Caffeine slowly enters breast milk after maternal consumption."
The Correct Answer is C
A. Avoid eating seafood to minimize risk to the newborn: Seafood contains important nutrients like omega-3 fatty acids that support infant brain development; moderate consumption of low-mercury seafood is generally safe and encouraged during breastfeeding.
B. Wait 1 hour to breastfeed after consuming alcohol: Alcohol peaks in breast milk approximately 30 to 60 minutes after consumption; waiting only 1 hour may not be sufficient to prevent infant exposure depending on the amount consumed.
C. Consume additional calories each day to support milk production: Breastfeeding increases a mother’s energy needs by about 450 to 500 calories per day, so additional caloric intake is necessary to maintain adequate milk supply and support maternal health.
D. Caffeine slowly enters breast milk after maternal consumption: Caffeine passes into breast milk relatively quickly, usually within 30 to 60 minutes after ingestion, so it does not enter slowly but rather fairly rapidly after consumption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. “I should assess the client's skin integrity every 8 hours while in mechanical restraints.”: Skin integrity should be assessed much more frequently, typically every 1 to 2 hours, to prevent pressure injuries and ensure circulation is not impaired.
B. “I should expect the provider to evaluate the client within 4 hours of restraint application.”: Provider evaluation is required sooner, generally within 1 hour of restraint application, to ensure the necessity and appropriateness of restraints.
C. “I should ask the provider to write a prescription for mechanical restraints as needed.”: Restraints require a specific, time-limited provider order; PRN (as needed) orders are not appropriate because continuous assessment is necessary to determine ongoing need.
D. “I should visually monitor the client continuously when in mechanical restraints.”: Continuous visual monitoring is essential to ensure the client’s safety, prevent injury, and assess for any distress while restraints are in place.
Correct Answer is A
Explanation
A. “I can start the medication 30 minutes earlier.”: Most facilities allow a 30-minute window before or after the scheduled administration time for IV antibiotics like vancomycin. Administering it more than 30 minutes early may interfere with therapeutic drug levels and proper dosing intervals.
B. “I have up to 2 hours after the usual scheduled time to give you this medication.”: While some medications may allow a late administration window, vancomycin requires precise timing to maintain therapeutic levels and prevent resistance. Delays beyond 30 minutes are generally not appropriate.
C. “I can adjust the time and schedule for when it's convenient for you.”: Medication schedules, especially for antibiotics, are based on pharmacokinetics and infection control. Altering times for convenience can compromise treatment effectiveness and safety.
D. “I can infuse the medication at a faster rate.”: Infusing vancomycin too quickly increases the risk of adverse reactions such as Red Man Syndrome. It must be administered over a prescribed minimum time to reduce complications.
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