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. “The proxy should manage legal issues for the client.”: Legal matters are typically handled by a general power of attorney, not a durable power of attorney for health care. The health care proxy is specifically responsible for making medical decisions, not legal ones.
B. “The proxy can make financial decisions if the need arises.”: Financial decisions fall under the responsibilities of a financial power of attorney, not a health care proxy. The DPAHC is limited to health-related decisions when the client is unable to do so.
C. "The proxy should make health care decisions for the client regardless of the client's ability to do so.": The health care proxy only assumes decision-making authority when the client is no longer capable of making or communicating their own medical decisions.
D. "The proxy can make treatment decisions if the client is under anesthesia.": A DPAHC authorizes the health care proxy to make medical decisions when the client is temporarily or permanently incapacitated, including during periods such as surgery under anesthesia.
Correct Answer is D
Explanation
A. Ask each nurse to take turns making the assignments: This may seem fair, but it avoids addressing the underlying conflict and could lead to inconsistent or biased assignments. It doesn't promote teamwork or long-term resolution.
B. Tell the nurses that the assignments will be more equitable in the future: This is a vague promise that doesn't actively involve the nurses in resolving the conflict. It may not build trust or address the root perception of favoritism.
C. Arrange for the nurses to have as few shifts together as possible: Separating the nurses may reduce short-term tension, but it avoids the issue and fails to improve communication or working relationships between team members.
D. Encourage collaboration between the two nurses when making the assignments: This strategy promotes open communication, mutual understanding, and shared responsibility. It empowers both nurses to contribute to the process and helps build trust and teamwork.
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