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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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Transient tachypnea of the newborn (TTN) is a common condition in full-term infants, particularly those born via C-section, and is characterized by rapid breathing (tachypnea), nasal flaring, and mild respiratory distress within the first few hours after birth. The condition typically resolves within 48-72 hours.

B. Respiratory distress syndrome (RDS) usually occurs in premature infants, and the symptoms described do not match this condition.

C. Meconium aspiration syndrome is usually associated with meconium-stained amniotic fluid and typically presents with more severe respiratory distress and other signs of obstruction.

D. A tracheoesophageal fistula would present with more severe respiratory symptoms, such as choking and coughing, and is not typically characterized by tachypnea alone.

Correct Answer is {"dropdown-group-1":"B"}

Explanation

Given the client's symptoms of severe lower abdominal pain on the left side, the nurse should be concerned about a potential ectopic pregnancy, where the fertilized egg implants outside the uterus, commonly in the fallopian tube. This is a medical emergency, as it can lead to life-threatening complications if the tube ruptures.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is {"dropdown-group-1":"B"}

Explanation

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