A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

"Go to the emergency room and your provider will meet you the

"Come to the office and we will check things out."

"What else have you been eating?"

"This is expected because of the way iron is broken down during digestion."

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Going to the emergency room for black stools without abdominal pain or cramping is not warranted in this situation.
Choice B rationale:
Having the client come to the office to check things out may not be necessary since black stools can be an expected side effect of iron supplements and do not necessarily indicate a problem.
Choice C rationale:
Asking about the client's diet is a valid question, but the black stools are likely due to iron supplements' effects and not related to dietary choices.
Choice D rationale:
Black stools are a known side effect of iron supplements. When iron is broken down during digestion, it can cause the stools to appear black or dark. As the client has no other concerning symptoms like abdominal pain or cramping, this response by the nurse reassures the client that the finding is expected and not a cause for alarm.

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Correct Answer is D

Explanation

Choice A rationale: Stopping breastfeeding is not recommended for breast engorgement. Breastfeeding frequently and effectively is one of the best ways to relieve engorgement and prevent further complications.
Choice B rationale: Feeding the baby every 2 hours is a frequent feeding schedule, which can help manage breast engorgement. However, this statement does not specifically address the use of cold compresses for relief.
Choice C rationale: Wearing a supportive bra during the daytime can help provide comfort and support for engorged breasts. However, this statement does not specifically address the use of cold compresses for relief.
Choice D rationale: Applying cold compresses to the breasts before each feeding can help reduce breast engorgement and discomfort. Cold compresses can help constrict the blood vessels and reduce swelling, making it easier for the baby to latch on and feed effectively.

A. Pushes solid objects from mouth B. Eats pieces of soft, cooked food C. Drinks from a cup held by another person D. Begins experimenting with a spoon

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale: Around 10 to 12 months of age, babies develop more advanced oral motor skills and can start to use their tongue to push solid objects out of their mouth. This is a natural reflex that helps prevent choking as they continue to learn how to eat solid foods.
Choice B rationale: Between 8 to 10 months of age, babies start to develop the ability to chew and swallow soft, cooked food. At this stage, they are typically introduced to mashed or finely chopped solid foods to complement their breast milk or formula diet.
Choice C rationale: Newborns typically start with bottle-feeding or breastfeeding. As they grow and develop, they eventually transition to drinking from a cup, which is usually introduced around 6 to 9 months of age. At this stage, the baby is held by another person while they drink from a cup with assistance.
Choice D rationale: Around 6 to 8 months of age, infants start showing an interest in self-feeding and may begin experimenting with a spoon. They may try to scoop food with a spoon but often need assistance and are still primarily dependent on being fed by a caregiver.

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A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is providing anticipatory guidance to the parents of a newborn about feeding skills. Place the following feeding skills in the order the newborn should develop them. (Move the steps into the box on the right, placing them in the selected order of performance. Use all of the steps.)

Correct Answer is ["A","B","C","D"]

Explanation

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