A nurse is teaching a new mother about the signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?

Your baby can lose 10% of his birth weight and should return to weight by 7-14 days of age.

Your baby should gain 0.25 oz (7 grams) per day after the fourth day of life.

Expect your baby to have less than 5 wet diapers per day after the fourth day of life.

Expect your baby to feed constantly during the first week of life.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
A newborn can lose up to 10% of their birth weight in the first few days after birth, which is considered normal. By 7-14 days of age, the baby should have regained their birth weight if breastfeeding effectively.
Choice B rationale:
Gaining 0.25 oz (7 grams) per day after the fourth day of life is not a standard guideline for assessing effective breastfeeding.
Choice C rationale:
Expecting the baby to have less than 5 wet diapers per day after the fourth day of life may indicate dehydration or inadequate breastfeeding, which is not a sign of effective breastfeeding.
Choice D rationale:
Expecting the baby to feed constantly during the first week of life is not necessarily an indicator of effective breastfeeding. While frequent feeding is normal in the early days, the baby should be able to effectively feed and show signs of satiety after nursing.

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Correct Answer is C

Explanation

Choice A rationale: The gender of the fetus is not determined through amniocentesis. Fetal gender determination can be achieved through ultrasound or other specialized genetic tests if needed.
Choice B rationale: While amniocentesis can provide information about certain chromosomal abnormalities and genetic conditions, it is not the primary procedure used to detect anatomic abnormalities. Detailed ultrasound and other specialized imaging techniques are used for this purpose.
Choice C rationale: Amniocentesis is a prenatal diagnostic procedure in which a small amount of amniotic fluid is withdrawn from the uterus. The amniotic fluid contains fetal cells and biochemical substances that can provide valuable information about the fetus's health and development. One of the essential pieces of information obtained from amniocentesis is the maturity of the lungs. This is crucial in preterm labor to assess whether the lungs are mature enough to support breathing if the baby is born prematurely.
Choice D rationale: The gestational age is determined through other methods, such as ultrasound measurements and the last menstrual period. Amniocentesis is not primarily used to determine the weeks of gestation.

A. "I will stop breastfeeding until I am done with the antibiotics." B. "I'll feed my baby every 2 hours." C. "I won't wear a bra during the daytime." D. “I’ll apply cold compresses 20 min before each feeding."

Correct Answer is D

Explanation

Choice A rationale: Stopping breastfeeding is not an appropriate response to breast engorgement. Continuing to breastfeed frequently and effectively can help relieve the engorgement and ensure adequate milk supply.
Choice B rationale: While frequent breastfeeding is beneficial for both the baby and mother, this statement does not directly address breast engorgement.
Choice C rationale: Wearing a supportive bra during the daytime can actually help reduce breast engorgement and discomfort by providing gentle pressure and support to the breasts.
Choice D rationale: Breast engorgement is a common issue for breastfeeding mothers, especially during the early days after delivery. Applying cold compresses to the breasts before each feeding can help reduce swelling and discomfort associated with engorgement, making it easier for the baby to latch onto the breast.

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A nurse is teaching a new mother about the signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?

Correct Answer is C

Explanation

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

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