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 B

Explanation

Choice A rationale

Applying hot compresses to the breasts prior to feeding is not recommended for painful nipples due to breastfeeding. It may exacerbate pain and discomfort.

Choice B rationale

Teaching latching and releasing of suction techniques helps ensure that the baby latches correctly and releases properly from the breast, which can prevent and alleviate nipple pain and trauma.

Choice C rationale

Rubbing colostrum on the nipples after a feeding session is beneficial as colostrum has healing properties, but it does not address the immediate technique-related cause of painful nipples.

Choice D rationale

Air-drying nipples for 10 minutes at the end of the feeding session can be helpful for healing, but proper latching techniques are more effective in preventing nipple pain.

A. Vital signs are unstable. B. Glucose levels are low. C. Skin has acrocyanosis. D. Circumcision site oozes blood.

Correct Answer is D

Explanation

Choice A rationale

Unstable vital signs in a newborn could be attributed to various causes such as infection, respiratory issues, or cardiovascular problems. It is not directly linked to the absence of phytonadione injection.

Choice B rationale

Low glucose levels in a newborn can result from conditions like prematurity, maternal diabetes, or feeding issues and are not a direct consequence of the absence of a phytonadione injection.

Choice C rationale

Acrocyanosis, a bluish discoloration of the hands and feet, is a common and benign finding in newborns due to immature blood circulation and is not related to the absence of phytonadione.

Choice D rationale

Phytonadione (vitamin K) is essential for blood clotting. Absence of this injection can lead to bleeding issues, such as oozing at circumcision sites, due to vitamin K deficiency bleeding (VKDB).

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client with painful nipples due to breastfeeding.What intervention is appropriate?

Correct Answer is B

Explanation

A mother refused to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan.Which of the following signs or symptoms might the nurse observe in the baby as a result?

Correct Answer is D

Explanation

The nurse is teaching the patient about breastfeeding.The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

A nurse is caring for a mother who delivered vaginally 2 hours ago.Select the 4 findings the nurse should report to the provider.

The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

The RN has received a hand-off report.Which client does the RN need to see first?

Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system.Which findings would cause the nurse to suspect NEC?

A nurse is assisting a client with breastfeeding.Which of the following reflexes will promote the newborn to latch?

A nurse is caring for a newborn who is 56 hours old.Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?