Which three (3) assessment findings indicate that the breastfeeding client has achieved a proper latch?
Rhythmic suckling
A slurping sound as the infant sucks
Tongue down with lips flanged
Dimpling of the infant's cheeks while sucking
Audible swallowing
Correct Answer : A,C,E
A. Rhythmic suckling. Indicates the infant is effectively extracting milk.
B. A slurping sound as the infant sucks. This suggests poor latch and possible ingestion of air.
C. Tongue down with lips flanged. Shows that the infant's tongue is extended over the lower gum and lips are flared outward, creating a seal.
D. Dimpling of the infant's cheeks while sucking. Indicates improper latch and poor seal around the breast.
E. Audible swallowing. Indicates milk transfer is occurring as the infant swallows.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["75"]
Explanation
The safe dose for the infant is 50 mg/kg/day.
The infant weighs 6 kg.
Calculate the total daily dose:
50mg/kg/day×6kg=300mg/day
Since the medication is to be given every 6 hours, it will be administered 4 times a day (24 hours / 6 hours = 4 doses/day).
Calculate the dose per administration:
300mg/day÷4=75mg/dose
Each dose of Amoxicillin should be 75 mg.
Correct Answer is ["A","C","D"]
Explanation
A. I perform a range of motion exercises every 4 hours to help prevent contractures. This helps prevent the tightening of muscles and joints, reducing the risk of contractures common in spastic cerebral palsy.
B. I make sure that I use toys and activities that are appropriate for my child's chronological age. While important, this does not specifically address the care needs related to spastic cerebral palsy.
C. I have utensils with large, padded handles to make it easier for my child to feed himself. Adaptive utensils promote independence in self-care activities.
D. I play games with my child every day to keep them as independent as possible. Engaging in activities that promote independence and social interaction is beneficial for children with cerebral palsy.
E. I give my child carbidopa so that he will stop drooling. Medications like carbidopa are not typically used to manage drooling associated with cerebral palsy and are not a primary care measure.
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