The nurse instructs a class of postpartum women on methods to avoid nipple soreness while breastfeeding.
Which comment by a class participant indicates the need for further instruction?

“I will use one breast at each feeding and switch to the second breast at the next feeding.”.

“I will rub breast milk into my nipple.”.

“I will wash my nipples with water but no soap, and I will let them air dry.”.

“I will place warmed tea bags on my nipples.”.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Placing warmed tea bags on the nipples is not a recommended method to avoid nipple soreness while breastfeeding. Tea bags can cause dryness and cracking of the nipples, which can increase the risk of infection and pain.

Choice A is wrong because it is better to use both breasts at each feeding and switch the starting breast at each feeding. This helps to ensure adequate milk production and drainage.

Choice B is correct because rubbing breast milk into the nipple can help to moisturize and protect the nipple from infection. Breast milk has antibacterial and healing properties.

Choice C is correct because washing the nipples with water but no soap can help to prevent irritation and dryness of the nipples.

Soap can remove the natural oils that protect the skin. Letting the nipples air dry can also help to prevent fungal growth.

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Correct Answer is D

Explanation

The correct answer is choice D. Orange juice.This is because orange juice is rich in vitamin C, which enhances the absorption of iron from ferrous sulfate tablets.Vitamin C helps reduce iron to its ferrous form, which is more readily absorbed by the intestinal cells.

Choice A is wrong because milk contains calcium, which inhibits iron absorption by forming insoluble complexes with iron.Choice

B is wrong because tea contains tannins, which are polyphenols that bind to iron and decrease its bioavailability.Choice C is wrong because water does not have any effect on iron absorption, neither enhancing nor inhibiting it.

Normal ranges for serum iron are 50-170 mcg/dL for men and 40-150 mcg/dL for women.Normal ranges for hemoglobin are 13.5-17.5 g/dL for men and 12-15.5 g/dL for women.

A. Remind her that an increase in fetal activity will require an increase in her need to rest. B. Explain to her that she is likely to have back labor. C. Arrange for her to meet the staff who will be caring for her during labor and delivery. D. Teach her how to test her urine for the presence of glucose.

Correct Answer is C

Explanation

The correct answer is choice C. Arrange for her to meet the staff who will be caring for her during labor and delivery.This measure can help reduce the anxiety and fear of the unknown that a primigravida may have in the last month of pregnancy.Meeting the staff can also help establish rapport and trust, which are essential for a positive birth experience.

Choice A is wrong because an increase in fetal activity does not necessarily require an increase in the need to rest.

Fetal activity is normal and expected, and the mother should monitor it regularly.Resting may help with some discomforts of pregnancy, but it is not directly related to fetal activity.

Choice B is wrong because back labor is not likely for a primigravida with an uncomplicated pregnancy.

Back labor occurs when the fetus is in an occiput posterior position, which puts pressure on the mother’s spine and causes intense pain in the lower back.This position is more common in multiparous women than primigravidas.

Choice D is wrong because testing urine for glucose is not a routine measure for a primigravida with an uncomplicated pregnancy.

Urine glucose testing is done for women who have gestational diabetes or are at risk of developing it.It is not necessary for women who have normal blood glucose levels.

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The nurse instructs a class of postpartum women on methods to avoid nipple soreness while breastfeeding. Which comment by a class participant indicates the need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to receive ferrous sulfate tablets. Which drink item will enhance the absorption of the medication?

Correct Answer is D

Explanation

A nurse is caring for a 16-year-old primigravida who is in the last month of an uncomplicated pregnancy. Which measure is most appropriate to include in the patient’s plan of care?

Correct Answer is C

Explanation

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The nurse instructs a class of postpartum women on methods to avoid nipple soreness while breastfeeding.
Which comment by a class participant indicates the need for further instruction?