After an emergency birth, the nurse encourages the woman to breastfeed her newborn.
The primary purpose of this activity is to:.

Facilitate maternal-newborn interaction.

Stimulate the uterus to contract.

Prevent neonatal hypoglycemia.

Initiate the lactation cycle.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Facilitate maternal-newborn interaction. Facilitating maternal-newborn interaction is an important aspect of breastfeeding, but it is not the primary purpose of encouraging breastfeeding immediately after an emergency birth. The primary purpose is to initiate the lactation cycle, allowing the newborn to receive essential colostrum, the first milk rich in antibodies and nutrients, which aids in the development of the newborn's immune system.

Choice B rationale:

Stimulate the uterus to contract. While breastfeeding can stimulate uterine contractions due to oxytocin release, the primary purpose of encouraging breastfeeding in this context is not to contract the uterus but to initiate the lactation cycle for the newborn's benefit.

Choice C rationale:

Prevent neonatal hypoglycemia. Breastfeeding can help prevent neonatal hypoglycemia by providing the newborn with a constant supply of nutrients, but the primary purpose immediately after an emergency birth is to initiate the lactation cycle and provide colostrum, not solely to prevent hypoglycemia.

Choice D rationale:

Initiate the lactation cycle. Initiating the lactation cycle is the correct answer because breastfeeding immediately after birth helps the woman's body start producing milk and provides the newborn with colostrum, essential for their health and development. Colostrum is rich in antibodies and nutrients, offering vital protection and nourishment to the newborn.

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Correct Answer is D

Explanation

Choice A rationale:

Leaving the infant in the room with the mother may not be appropriate, especially given the difficult delivery and the risk of complications, such as hypoglycemia.

Choice B rationale:

Taking the infant immediately to the nursery without monitoring vital signs and glucose levels could lead to missed signs of distress or hypoglycemia.

Choice C rationale:

Performing a gestational age assessment is important, but the immediate concern for this infant is the risk of hypoglycemia due to macrosomia (large birth weight). This choice does not address the immediate issue at hand.

Choice D rationale:

The correct answer. Macrosomic infants, especially those born after a difficult delivery, are at risk of hypoglycemia due to the excessive insulin production in response to high blood glucose levels. It is crucial to monitor the infant's blood glucose levels frequently and observe closely for signs of hypoglycemia, such as jitteriness, poor feeding, and lethargy.

A. September 8. B. August 1. C. August 10. D. September 3.

Correct Answer is A

Explanation

To calculate the estimated date of confinement (EDC) using Nagele's rule, follow these steps:

Take the first day of the last menstrual period (LMP).
Add 7 days to that date.
Count back 3 months.
Add 1 year to the resulting date, and that will be the EDC.

In this case, the client's LMP started on December 1.

December 1
December 8 (adding 7 days)
September 8 (counting back 3 months)
Add 1 year: September 8 of the following year

So, the most accurate EDC for the client using Nagele's rule would be September 8 of the following year.

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After an emergency birth, the nurse encourages the woman to breastfeed her newborn.The primary purpose of this activity is to:.

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Naxlex Comprehensive Predictor Exams

A macrosomic infant is born after a difficult forceps-assisted delivery.After stabilization, the infant is weighed, and the birth weight is 4550 g (9 lbs, 6 ounces). The nurse's most appropriate action is to:.

Correct Answer is D

Explanation

The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate?

Correct Answer is A

Explanation

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After an emergency birth, the nurse encourages the woman to breastfeed her newborn.
The primary purpose of this activity is to:.