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. "Can you stand very still while I feel how warm you are?": Toddlers may have difficulty understanding abstract requests or instructions. Asking a toddler to stand still to feel warmth may not effectively communicate the purpose of the assessment and may lead to confusion or

resistance.

B. "I am going to listen to your heart.": This statement provides clear, simple language that the toddler can understand. It prepares the child for the assessment and helps establish trust and cooperation.

C. "Can I listen to your lungs?": While this statement is appropriate for assessing respiratory sounds, it may not be as clear or specific as stating the intention to listen to the heart. Toddlers may not understand the term "lungs" as readily as "heart."

D. "I am going to take your blood pressure now.": This statement may cause anxiety or fear in the toddler, especially if they are unfamiliar with the procedure. It is important to prepare the child for each aspect of the assessment in a developmentally appropriate manner.

A. "It is best to just ignore this and to not respond to his questions." B. "He will eventually figure this out on his own." C. "You have to keep repeating that his grandfather is never coming back." D. "This is normal; children his age do not understand the permanence of death."

Correct Answer is D

Explanation

A. "It is best to just ignore this and to not respond to his questions.": Ignoring the child's questions about the death of his grandfather may lead to feelings of confusion or abandonment. It is important to address the child's concerns and provide appropriate support and guidance.

B. "He will eventually figure this out on his own.": While children may gradually come to understand the permanence of death as they mature, it is essential to provide support and explanations to help them cope with grief and loss.

C. "You have to keep repeating that his grandfather is never coming back.": Continually

repeating that the grandfather is never coming back may be distressing for the child and does not provide constructive support or help the child understand the concept of death.

D. "This is normal; children his age do not understand the permanence of death.": This response acknowledges the child's age-appropriate understanding of death and provides reassurance to the mother that her son's reaction is typical. It opens the door for the nurse to offer guidance on how to support the child through the grieving process and gradually help him comprehend the permanence of death.

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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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Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

Correct Answer is B

Explanation

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

Correct Answer is D

Explanation

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