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

"I will make sure that just the nipple is in my baby's mouth."

"I will lay my baby on a pillow at the level of my breast."

"I will nurse my baby for 5 to 10 minutes on each breast."

"I will apply vitamin E oil to my nipples after each feeding."

Answer and Explanation

The Correct Answer is B

A: The baby should take in both the areola and nipple for effective breastfeeding, not just the nipple.
B: This position helps ensure that the baby's mouth is at the same level as the breast, which promotes proper latch and feeding.
C: The duration of breastfeeding can vary, and it's often recommended to nurse until the baby is satisfied rather than setting a specific time limit.
D: Applying vitamin E oil after each feeding is not a standard practice and is not necessary for successful breastfeeding.

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Correct Answer is A

Explanation

A. Ice packs can help reduce swelling and inflammation associated with engorgement by constricting blood vessels and reducing blood flow to the area, which can alleviate pain and discomfort.
B. Avoiding the use of a breast pump may exacerbate engorgement. It is appropriate to use a pump if needed for comfort or to facilitate breastfeeding.
C. While purified lanolin can help soothe sore nipples, it does not address the inflammation and swelling of engorgement.
D. A well-fitting, supportive bra is important, but it should not be too tight. It should provide adequate support without constricting the breasts.

A. Excessive lanugo B. Hypotonia C. Absent vernix D. Dry, cracked skin E. Long, hard nails

Correct Answer is ["C","D","E"]

Explanation

A. Excessive lanugo:
This is incorrect. Excessive lanugo is more commonly seen in preterm newborns. Post-term newborns, such as those born at 43 weeks of gestation, typically have little to no lanugo due to its shedding during late gestation.

B. Hypotonia:
This is incorrect. Hypotonia (reduced muscle tone) is not a characteristic finding in post-term newborns. Post-term infants generally exhibit normal or increased muscle tone, unless there is an underlying condition or birth complication.

C. Absent vernix:
This is correct. Vernix caseosa, a protective substance that coats the skin in utero, is typically absent or minimal in post-term newborns because it is reabsorbed in the amniotic fluid as gestation progresses beyond term.

D. Dry, cracked skin:
This is correct. Post-term newborns often have dry, peeling, or cracked skin due to prolonged exposure to amniotic fluid. The lack of vernix exacerbates this condition, leading to skin that appears weathered or desquamated.

E. Long, hard nails:
This is correct. Post-term newborns frequently have long, hard nails that may extend beyond the fingertips. This is a result of extended fetal development time in utero

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

Correct Answer is A

Explanation

A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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