The nurse is teaching the patient about breastfeeding.
The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Oxytocin.

Progesterone.

Hindmilk.

Foremilk.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Oxytocin is the hormone responsible for the let-down reflex during breastfeeding. It is released from the posterior pituitary gland in response to the baby’s suckling. This hormone causes the milk ducts to contract and eject milk from the alveoli into the ducts, making it available for the baby.

Choice B rationale: Progesterone plays a role in preparing the breast tissue for lactation during pregnancy, but it does not directly trigger the let-down reflex.

Choice C rationale: Hindmilk is the milk produced later in a feeding session, which is richer in fat and calories. It is not a hormone and does not cause the let-down reflex.

Choice D rationale: Foremilk is the initial milk released during breastfeeding, which is higher in water content. It is also not a hormone and does not cause the let-down reflex.

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Correct Answer is A

Explanation

Choice A rationale

Antibiotics should be taken for the full prescribed course, typically 10-14 days, to ensure complete resolution of the infection. Stopping antibiotics early can lead to recurrence or resistance.

Choice B rationale

Continuing to breastfeed while having mastitis is encouraged as it helps keep milk flowing and prevents blockage.

Choice C rationale

Taking analgesics for pain relief is appropriate during mastitis as it helps manage discomfort and supports continued breastfeeding.

Choice D rationale

Wearing a supportive bra helps alleviate discomfort and supports the breasts, which is beneficial during mastitis.

A. Client is Rh positive and the newborn is Rh positive. B. Client is Rh negative and the newborn is Rh positive. C. Client is Rh positive and the newborn is Rh negative. D. Client is Rh negative and the newborn is Rh negative.

Correct Answer is B

Explanation

Choice A rationale

If the client and the newborn are both Rh positive, Rh immunoglobulin is not necessary because there is no Rh incompatibility.

Choice B rationale

Rh immunoglobulin is administered when the mother is Rh negative and the newborn is Rh positive to prevent the mother's immune system from developing antibodies against Rh-positive blood.

Choice C rationale

If the client is Rh positive and the newborn is Rh negative, Rh immunoglobulin is not needed because Rh incompatibility does not occur in this scenario.

Choice D rationale

If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, so Rh immunoglobulin is not needed.

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The nurse is teaching the patient about breastfeeding.The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding.Which statement by the client indicates a need for MORE teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is Rh negative.Which of the following findings would cause the nurse to administer Rh immunoglobulin?

Correct Answer is B

Explanation

The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

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The nurse is teaching the patient about breastfeeding.
The nurse knows the following: 1. The hormone responsible for the let-down reflex is: