The nurse is teaching a new mother the proper techniques for breastfeeding her newborn. Which is a recommended guideline that should be implemented?

Wash the hands and breasts thoroughly prior to breastfeeding.

Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areola.

When finished, the mother can break the suction by firmly pulling the baby's mouth away from the nipple.

Stroke the nipple against the baby's chin to stimulate wide opening of the baby's mouth.

Answer and Explanation

The Correct Answer is B

A. Wash the hands and breasts thoroughly prior to breastfeeding: While hand hygiene is

important, washing the breasts thoroughly before breastfeeding is not recommended as it can remove natural oils that protect the skin and may cause irritation.

B. Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areolA. This is a recommended guideline for proper latching during breastfeeding. Ensuring that the baby's mouth covers both the nipple and the surrounding areola helps to facilitate effective milk transfer and prevents nipple pain or damage.

C. When finished, the mother can break the suction by firmly pulling the baby's mouth away from the nipplE. Breaking the suction by pulling the baby's mouth away can cause nipple

trauma. Instead, it's recommended to insert a clean finger into the corner of the baby's mouth to break the suction before removing the baby from the breast.

D. Stroke the nipple against the baby's chin to stimulate wide opening of the baby's mouth: This action may not effectively stimulate the baby to open wide and latch properly. It's better to use gentle pressure on the baby's chin or lower lip to encourage a wider latch

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Correct Answer is B

Explanation

A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.

B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.

C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.

D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.

A. 87 lb B. 81 lb C. 89 lb D. 85 lb

Correct Answer is A

Explanation

A. 87 lb is a reasonable weight for a 10-year-old boy who was 80 lb the previous year, considering the average weight gain is about 10 pounds a year at this age.

B. 81 lb would be a below-average weight gain for a year for a child of this age. C. 89 lb would be an above-average weight gain for a year for a child of this age.

D. 85 lb is within the range but slightly below the average expected weight gain for a year for a child of this age.

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The nurse is teaching a new mother the proper techniques for breastfeeding her newborn. Which is a recommended guideline that should be implemented?

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A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?

Correct Answer is B

Explanation

The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight?

Correct Answer is A

Explanation

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