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Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

Call the lactation consultant to visit the patient

Encourage and support the mother's desire/intention and include the partner in the conversation

Give the mother a bottle of formula to supplement

Help the mother shove her nipple in the baby's mouth.

Check for audible swallowing and a comfortable (non-painful) suck

Assist with proper positioning and latch techniques

Answer and Explanation

Correct Answer : A,B,E,F

A. Call the lactation consultant to visit the patient

Rationale: A lactation consultant is a specialized professional who can provide expert guidance on breastfeeding techniques and troubleshooting latching issues. They can offer personalized assistance and support to ensure proper latch and feeding.

B. Encourage and support the mother's desire/intention and include the partner in the conversation

Rationale: Providing emotional support and encouragement is crucial. Including the partner helps create a supportive environment for the mother and ensures that everyone is on the same page regarding breastfeeding goals and practices.

E. Check for audible swallowing and a comfortable (non-painful) suck

Rationale: Ensuring that the baby is swallowing and that the mother is not experiencing pain during feeding indicates that the latch may be correct. This helps confirm that the baby is feeding effectively and that the mother is comfortable.

Not Recommended:

C. Give the mother a bottle of formula to supplement

Rationale: Introducing formula supplementation is not necessary if the goal is exclusive breastfeeding. This step might undermine the mother's confidence or interfere with the baby's ability to latch properly.

D. Help the mother shove her nipple in the baby's mouth

Rationale: This approach can cause discomfort and may not address the underlying issue of improper latching. It is better to use techniques that encourage a natural and comfortable latch.

Note:

F. Assist with proper positioning and latch techniques"

Rationale: Proper positioning ensures the baby is comfortably aligned with their head in line with their body, and the baby is brought to the breast, not vice versa.

A good latch involves the baby opening their mouth wide to take in the nipple and a portion of the areola, which helps with milk transfer and reduces discomfort. Proper latch prevents pain and supports milk production.

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Correct Answer is B

Explanation

Choice A: Applying warm, moist soaks to the client's lower legs is not an effective intervention, as it can increase the swelling and the discomfort of the legs and interfere with the healing of the incision. The nurse should avoid applying heat to the legs and use compression stockings or pneumatic devices insteaD.

Choice B: Having the client ambulate frequently in the hallway is an effective intervention, as it can improve the blood circulation and prevent the formation of blood clots in the legs. The nurse should encourage the client to ambulate as soon as possible after the surgery and assist the client with the first ambulation.

Choice C: Keeping the client on bed rest is not an appropriate intervention, as it can increase the stasis and the coagulation of the blood and increase the risk of thrombophlebitis. The nurse should avoid prolonged bed rest and promote early mobilization of the client.

Choice D: Placing pillows under the client's knees while she is resting in bed is not an appropriate intervention, as it can impair the venous return and increase the pressure and the inflammation of the legs. The nurse should avoid placing anything under the client's knees and keep the legs slightly elevated and in a straight position.

A. Decreased iron stores during the first few months of life B. Decreased in RBC volume and hemoglobin levels C. Lowered incidence of necrotizing enterocolitis and intraventricular hemorrhage in preterm babies D. Increased need for blood transfusions

Correct Answer is C

Explanation

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Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

Nursing Test Bank

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