A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Which of the following instructions should the nurse include?
You should use a breast pump if you plan to return to work.
Cover your breasts immediately after feedings.
Wear an underwire bra between feedings.
Wash your nipples with soap and water daily.
The Correct Answer is A
The correct answer is Choice A
Choice A rationale: Using a breast pump helps maintain milk supply and prevent milk stasis, which reduces the risk of developing mastitis. Mastitis is an infection of the breast tissue that can cause pain, swelling, warmth, and redness.
Choice B rationale: Covering breasts immediately after feedings does not directly prevent mastitis. Proper hygiene and ensuring complete breast emptying are more effective measures for preventing mastitis. Covering may trap moisture and bacteria, potentially leading to infection.
Choice C rationale: Wearing an underwire bra between feedings can restrict milk flow and cause clogged ducts, increasing the risk of mastitis. Non-restrictive, well-fitting bras are recommended to ensure proper milk drainage and breast comfort.
Choice D rationale: Washing nipples with soap and water daily can strip natural oils, causing dryness and cracks. Cracked nipples are entry points for bacteria, increasing mastitis risk. Instead, cleaning with plain water is recommended to maintain nipple integrity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Placing the newborn supine and applying pressure to the soles of the feet is not the correct method to elicit the Babinski reflex. This action does not stimulate the appropriate nerve pathways involved in the reflex.
Choice B rationale
Stroking upward on the lateral aspect of the sole of the newborn’s foot is the correct method to elicit the Babinski reflex. This action stimulates the plantar reflex, causing the big toe to extend upward and the other toes to fan out.
Choice C rationale
Pulling the newborn up by the wrist from a supine position is used to elicit the traction response, not the Babinski reflex. The traction response involves the newborn flexing their arms and attempting to lift their head.
Choice D rationale
Touching the corner of the newborn’s mouth elicits the rooting reflex, not the Babinski reflex. The rooting reflex causes the newborn to turn their head toward the stimulus and open their mouth.
Correct Answer is D
Explanation
Choice A rationale
Placing a newborn in the right lateral position is not recommended as it increases the risk of suffocation and sudden infant death syndrome (SIDS)4.
Choice B rationale
Placing a newborn in the left lateral position is also not recommended for the same reasons as the right lateral position.
Choice C rationale
Placing a newborn in the prone position (on their stomach) significantly increases the risk of SIDS and is not recommended.
Choice D rationale
Placing a newborn in the supine position (on their back) is the safest position for sleep and is recommended to reduce the risk of SIDS4.
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