The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).
Length of time the infant feeding.
Listening to hear if the baby is swallowing
Asking about pain while feeding
Evaluating if the nipple is inverted, flat, or everted.
Assessing for help at home with breastfeeding
Use of a nipple shield
Correct Answer : A,B,D
A. The length of time the infant is feeding is a factor in evaluating the effectiveness of breastfeeding.
B. Listening for swallowing during breastfeeding indicates that the infant is transferring milk effectively.
C. Asking about pain while feeding is important for assessing breastfeeding comfort, but it's not part of the LATCH score.
D. Nipple shape (inverted, flat, or everted) is part of the LATCH score, as it can impact latch and breastfeeding effectiveness.
E. Assessing for help at home with breastfeeding is important for support but is not part of the LATCH scoring system.
F. Use of a nipple shield is important for certain breastfeeding difficulties but is not part of the LATCH score.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
The fetal heart rate is within normal ranges between 110 to 160 beats/minute. It also shows moderate variability with the amplitude ranging between 6 to 25 bmp. Both late and variable decelerations are absent. Therefore, based on the above findings this is a category 1 tracing.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Performing a vaginal examination is contraindicated in cases of unexplained vaginal bleeding, especially if placenta previa is suspected. It could disrupt the placenta, leading to severe hemorrhage.
Since the client is Rh-negative and there is a risk of fetal-maternal hemorrhage, administering RhoGAM is necessary to prevent Rh sensitization, which could affect future pregnancies.
While prenatal counseling is generally beneficial, it is non-essential in the acute management of vaginal bleeding and doesn't directly address the immediate clinical issue.
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