The breast milk with more calories released later in the feeding is:

Oxytocin.

Prolactin.

Foremilk.

Hindmilk.

Answer and Explanation

The Correct Answer is D

Choice B rationale: Prolactin is the hormone responsible for the production of breast milk. It does not determine the caloric content of the milk released later in the feeding.

Choice C rationale: Foremilk is the initial milk released during breastfeeding. It is higher in water content and lower in calories compared to hindmilk.

Choice D rationale: Hindmilk is the milk released later in the feeding. It is richer in fat and calories, providing essential nutrients and energy to the baby. The higher fat content in hindmilk helps in the baby's growth and development.

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

Explanation

Choice A rationale

A red, tender area on the breast could indicate mastitis, an infection of the breast tissue. This requires prompt medical attention to prevent complications and provide appropriate treatment, often involving antibiotics.

Choice B rationale

A temperature of 100.8°F is considered a fever and could indicate an infection. Postpartum clients are at risk of infections, including endometritis, and should report any fever to their healthcare provider for further evaluation.

Choice C rationale

Burning on urination could indicate a urinary tract infection (UTI). UTIs are common postpartum due to catheter use and trauma during delivery. This symptom should be reported for evaluation and treatment if necessary.

Choice D rationale

Increased lochia rubra can indicate postpartum hemorrhage or retained placental fragments. Any significant change in bleeding pattern should be reported to ensure timely management and prevent serious complications.

A. Large ecchymotic caput succedaneum noted on posterior scalp. B. Yellow discoloration noted of sclera and oral mucosa. C. Fontanel level and soft. D. Respiratory rate 78/min.

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

Explanation

Choice A rationale

A large ecchymotic caput succedaneum, which is swelling of the scalp due to birth trauma, usually resolves within a few days. However, its large size and presence of bruising should be monitored for potential complications such as jaundice.

Choice B rationale

Yellow discoloration of the sclera and oral mucosa indicates jaundice, which can be due to hyperbilirubinemia. This condition requires follow-up and possible treatment to prevent severe complications.

Choice C rationale

A level and soft fontanel in a newborn is a normal finding. It does not require follow-up as it indicates that intracranial pressure is normal.

Choice D rationale

A respiratory rate of 78/min in a newborn is significantly higher than the normal range (30-60/min). This finding requires follow-up to assess for respiratory distress or other underlying conditions.

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The breast milk with more calories released later in the feeding is:

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?

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

Explanation

A nurse is caring for a newborn 8 hours of age.Which of the following assessment findings require follow-up by the nurse?

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

Explanation

The nurse is assessing the client's transition to the taking-hold phase after an uncomplicated vaginal birth.Which behavior by the mother best indicates this transition is occurring?

A client calls the clinic to report some concerns.She had an IUD inserted a few weeks ago and her present menstrual flow is heavy.You advise her to:

A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?

A 35-year-old patient is getting her labs drawn at the six weeks post-partum check-up. Upon assessment, the nurse notes swelling in the patient's left leg, and the patient reports pain and tenderness in the calf.The nurse knows which lab results are responsible?

A nurse is providing teaching about newborn care to a client.Which statement indicates the need for further teaching?

A nurse is caring for a newborn who is 56 hours old in the neonatal unit. Below are the exhibits. Exhibits A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? Each finding may support more than one disease process.

The nurse calculates the 1-minute Apgar score of a neonate with the following characteristics to be: Heart rate 60; weak cry, partial flexion of extremities; weak suck; gray color.