A nurse is teaching a client about dietary recommendations while breastfeeding. Which of the following client statements should the nurse identify as an indication of understanding the teaching?
"I can have up to three glasses of wine per day while breastfeeding."
"I need to drink a glass of fluid each time I nurse and with all meals."
"I should avoid all seafood while I am breastfeeding."
"I need to eat a bland diet while breastfeeding, as babies often react to spicy food."
The Correct Answer is B
Rationale:
A. "I can have up to three glasses of wine per day while breastfeeding.": Alcohol passes into breast milk and can affect the infant’s neurologic development and feeding patterns. Regular alcohol intake should be avoided.
B. "I need to drink a glass of fluid each time I nurse and with all meals.": Adequate hydration supports optimal milk production during breastfeeding. Increasing fluid intake each time the mother nurses or eats helps replace fluids lost through lactation and prevents dehydration.
C. "I should avoid all seafood while I am breastfeeding.": Seafood provides essential omega-3 fatty acids that support the infant’s brain and eye development. The mother should only avoid high-mercury fish such as swordfish and king mackerel.
D. "I need to eat a bland diet while breastfeeding, as babies often react to spicy food.": Most infants tolerate varied maternal diets, including spicy foods, without adverse effects. Restricting flavors unnecessarily limits the mother’s nutrition and is not required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Ensure each individual can respond defensively about the conflict: Encouraging defensive responses escalates tension and does not promote resolution. The goal is to facilitate understanding and collaboration, not defensiveness.
B. Use passive listening techniques during conflict resolution: Passive listening may miss key information and prevent the manager from fully understanding the concerns. Active and empathetic listening is necessary to address the conflict effectively.
C. Gather individual information regarding the conflict: Collecting perspectives from each person involved helps the nurse manager understand the root causes, identify common themes, and develop an appropriate strategy for resolution. This is a critical step in structured conflict management.
D. Ask closed-ended questions about the conflict: Closed-ended questions limit responses and do not allow individuals to fully express their concerns or feelings. Open-ended questions are more effective for exploring issues in depth.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}
Explanation
Rationale for Correct Choices
• Compartment syndrome: The child’s nondisplaced midshaft fracture of the radius and ulna places them at risk for compartment syndrome, whereby increased pressure within the muscle compartments impairs circulation and tissue perfusion. Early recognition is crucial to prevent permanent nerve or muscle damage.
• Paresthesia: The child reports tingling in the fingers, which indicates nerve involvement or compression—an early warning sign of compartment syndrome. Monitoring for paresthesia helps the nurse identify worsening neurovascular compromise promptly.
Rationale for Incorrect Choices
• Osteomyelitis: Infection of the bone is unlikely immediately after a closed nondisplaced fracture without open wounds or surgical intervention. There is no evidence of systemic infection at this stage.
• Nonunion: Fracture nonunion is a long-term complication that occurs if healing fails over weeks to months. The child’s fracture is recent, so immediate risk is low.
• Physical damage: While trauma caused the fracture, “physical damage” is a broad term and does not specify a complication requiring acute monitoring.
• Ecchymosis: Bruising indicates soft tissue injury but does not predict compartment syndrome or other severe complications.
• Type of fracture: While important for diagnosis and treatment planning, the fracture type (nondisplaced) does not directly indicate the acute risk for neurovascular compromise.
• Location of fracture: The midshaft location contributes to fracture management but is not as clinically relevant as the early signs of compartment syndrome, such as paresthesia.
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