A nurse is reinforcing discharge teaching about breastfeeding with a client.Which of the following statements by the client indicates an understanding of the teaching?

I should breastfeed my baby at least six times per day.

I should keep my baby on a strict breastfeeding schedule.

I should feed my baby for 30 minutes during each feeding.

I should hold my baby just below the level of my breast.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Breastfeeding at least six times per day is too infrequent for a newborn. Newborns typically need to feed more frequently, approximately 8-12 times in 24 hours, to establish a good milk supply and ensure adequate nutrition.

Choice B rationale

Keeping a baby on a strict breastfeeding schedule is not recommended. Feeding should be on demand, based on the baby's hunger cues, to promote effective breastfeeding and milk production.

Choice C rationale

Feeding the baby for 30 minutes during each feeding is correct. This duration allows adequate time for the baby to receive both foremilk and hindmilk, which is essential for nutrition and satiety.

Choice D rationale

Holding the baby just below the level of the breast is incorrect. The baby should be held at breast level to facilitate proper latch and comfortable feeding for both mother and baby. .

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Correct Answer is D

Explanation

Choice A rationale

Lecithin/sphingomyelin (L/S) ratio does not indicate genetic disorders; it's used to assess fetal lung maturity.

Choice B rationale

The test does not determine placental function. It specifically evaluates fetal lung maturity through the ratio of lecithin to sphingomyelin in amniotic fluid.

Choice C rationale

The test is not used to assess the risk of Rh incompatibility. The L/S ratio focuses on lung development rather than blood compatibility issues.

Choice D rationale

The L/S ratio assesses the baby's lung maturity, indicating if the lungs produce enough surfactant for proper function after birth.

A. Elevate the client's legs. B. Turn the client onto their side. C. Palpate the client's uterus. D. Increase the client's IV fluid infusion rate.

Correct Answer is B

Explanation

Choice A rationale

Elevating the client's legs is incorrect as an initial intervention. It is more important to address the potential cause of the late decelerations first.

Choice B rationale

Turning the client onto their side is correct. This intervention can improve blood flow to the fetus and reduce the pressure on the vena cava, potentially alleviating late decelerations.

Choice C rationale

Palpating the client's uterus is not the first action. It is essential to address maternal positioning and oxygenation issues first.

Choice D rationale

Increasing the client's IV fluid infusion rate may help, but it is not the initial action. Positioning changes can have an immediate effect on fetal oxygenation.

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A nurse is reinforcing discharge teaching about breastfeeding with a client.Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio.Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who is in active labor.The fetal monitor tracing shows late decelerations.Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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