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 ["A","B","C","D"]
Explanation
A. Hallucinations: The client appears to be responding to unseen stimuli, indicating auditory hallucinations. This psychotic feature requires immediate follow-up due to risks of harm to self or others.
B. Hygiene: Although the client is unclean, poor hygiene is a common and non-urgent symptom during manic episodes. It does not require immediate intervention compared to issues with psychosis, dehydration, or cardiovascular stability.
C. Heart rate: The client’s heart rate is 120/min, which is tachycardia (normal range: 60–100/min). This may reflect dehydration, overstimulation, or a manic state and requires urgent assessment.
D. Skin turgor: Poor skin turgor suggests dehydration, possibly from inadequate intake during mania. Dehydration can worsen cognitive status and vital signs and must be addressed quickly.
E. Sleep pattern: The client has not slept in 2 days, which is dangerous in manic states. Severe sleep deprivation increases the risk for psychosis, agitation, and physical exhaustion, requiring prompt intervention.
Correct Answer is C
Explanation
A. Email the client's health information to the facility in an unencrypted file: Sending unencrypted files by email is a breach of confidentiality and violates HIPAA regulations. Protected health information must be securely transmitted.
B. Discuss the client's response to the transfer with another staff nurse: Unless the staff nurse is directly involved in the client’s care, this discussion would be inappropriate and a violation of the client’s privacy.
C. Provide a verbal report of the client’s condition to the paramedic performing the transfer: Sharing necessary health information with personnel directly involved in the client’s care and transport is appropriate and ensures continuity of care without violating confidentiality.
D. Fax the client's name and identifiable information to the rehabilitation facility: Faxing may be permitted if secured, but the question implies sending identifiable information without confirming secure transmission. This could risk unauthorized disclosure.
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