A nurse is reinforcing discharge instructions with a postpartum client about breastfeeding.
Which of the following statements by the client indicates an understanding of the teaching?
I will increase my potassium intake while breastfeeding.
I will maintain adequate fluid intake to quench my thirst.
I will maintain the same caloric intake as during pregnancy.
I will increase my intake of vitamin
The Correct Answer is B
Choice A rationale
While potassium is essential, there is typically no specific recommendation to increase intake beyond general healthy eating during breastfeeding. The focus is on adequate intake of fluids, calories, and certain nutrients like protein, calcium, iron, and Vitamin D. The recommended daily potassium intake for lactating women is 2,800 mg.
Choice B rationale
Maintaining adequate fluid intake to quench thirst is a critical and accurate instruction. Milk is primarily composed of water, so the process of lactation increases the mother's fluid requirements to maintain hydration and support consistent milk production, preventing dehydration, which is typically regulated by responding to the sensation of thirst.
Choice C rationale
Caloric needs during exclusive breastfeeding increase compared to pregnancy, typically by about 330 to 400 extra calories per day above pre-pregnancy needs, due to the energy demands of synthesizing milk. Maintaining the same caloric intake as during pregnancy will likely lead to an energy deficit, potentially compromising maternal reserves or milk supply.
Choice D rationale
While Vitamin K is essential for blood clotting, there is no specific instruction to increase its intake above the Recommended Dietary Allowance (RDA), which is 90 mcg/day for lactating women, as it's widely available in a balanced diet. The primary concern is often Vitamin D and calcium, not a significant increase in Vitamin K.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.25"]
Explanation
Step 1 is to determine the volume needed using the formula: Volume = (Dose prescribed÷Concentration available). 0.5 mg÷ (1 mg / 0.5 mL).
Step 2 is to perform the division:. 0.5 × 0.5 mL.
Step 3 is to calculate the final volume:. 0.25 mL. The nurse should administer 0.25 mL.
Correct Answer is A
Explanation
Choice A rationale
The shoulder harness straps should be positioned at or slightly below the newborn's shoulders when using a rear-facing car seat. This lower placement is crucial because it directs the force of a frontal collision downward, toward the strong bones of the baby's hips and shoulders, effectively minimizing the stress on the delicate neck and spinal cord. Newborns have proportionally large heads and weak neck muscles.
Choice B rationale
The retainer or chest clip should be placed firmly across the child's mid-chest or armpits (axillary level), not the umbilicus. This specific positioning keeps the harness straps correctly aligned over the shoulders, preventing them from slipping off and ensuring that the child is secured properly, which is vital for maximum protection in the event of a crash.
Choice C rationale
A newborn's car seat should be installed at a semi-reclined angle of approximately 45 degrees (or the angle recommended by the manufacturer, usually indicated by a level or line). A 60-degree angle is too upright and could cause the newborn's head to fall forward, obstructing the airway and increasing the risk of positional asphyxia, especially in a term neonate with underdeveloped neck control.
Choice D rationale
Current safety guidelines recommend that children remain in a rear-facing car seat for as long as possible, until they reach the highest weight or height limit allowed by the car seat manufacturer. The minimum recommendation for switching to forward-facing is typically at 2 years old and having exceeded the rear-facing weight limit, which is usually higher than 15 pounds.
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.