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 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.

A. With good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern. B. The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. C. Infants of mothers with diabetes have the same risks for respiratory distress syndrome because of careful monitoring. D. At birth, the neonate of a diabetic mother is no longer at any greater risk.

Correct Answer is B

Explanation

Choice A rationale:

With good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern. While controlling maternal glucose levels is important in diabetic pregnancies, it does not eliminate all risks, including the risk of stillbirth. However, the most significant cause of perinatal loss in diabetic pregnancies is congenital malformations. Poorly controlled diabetes during pregnancy can lead to structural abnormalities in the fetus, increasing the risk of perinatal loss.

Choice B rationale:

The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. This is the correct answer. Poorly controlled diabetes increases the risk of congenital malformations in the fetus, making it a significant concern in diabetic pregnancies. Proper management of diabetes and prenatal care are essential to reduce this risk.

Choice C rationale:

Infants of mothers with diabetes have the same risks for respiratory distress syndrome because of careful monitoring. Infants of mothers with diabetes are at an increased risk of respiratory distress syndrome due to delayed lung maturation. Careful monitoring is essential, but it does not eliminate this risk. Proper management and timely interventions are necessary to minimize the impact of respiratory distress syndrome in these infants.

Choice D rationale:

At birth, the neonate of a diabetic mother is no longer at any greater risk. Infants of diabetic mothers are at increased risk for various complications, both during and after birth. These risks include hypoglycemia, respiratory distress syndrome, and hypocalcemia, among others. Close monitoring and appropriate interventions are required to ensure the well-being of the newborn.

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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:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Diabetes in pregnancy puts the fetus at risk in several ways.Nurses should be aware that:.

Correct Answer is B

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:.