Nokea
A 1-week-postpartum client calls her obstetrician’s office and states, 'I am a breastfeeding mother and my nipples are cracked and bleeding.' Which of the following comments by the nurse is appropriate at this time?
- A. You will need to be seen by the doctor today.'
- B. The blood will make the baby very sick. You should pump and dump your milk for at least 1 week.'
- C. You are very high risk for infection. You should cleanse your nipples with dilute hydrogen peroxide twice every day.'
- D. Lanolin cream applied after each feeding will help you to heal.'
Correct Answer: D
Rationale: Lanolin cream helps soothe and heal cracked nipples without harming the baby.
You may also like to solve these questions
A fetus is in the LOA position in utero. Which of the following findings would the nurse observe when doing Leopold's maneuvers?
- A. Hard, round object in the fundal region.
- B. Flat object above the symphysis pubis.
- C. Soft, round object on the left side of the uterus.
- D. Small objects on the right side of the uterus.
Correct Answer: C
Rationale: In the LOA (left occiput anterior) position, the baby's back is on the left side of the uterus, which would feel like a soft, round object during Leopold's maneuvers.
A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is
- A. appropriate for gestational age.
- B. a sign of impending complications.
- C. lower than normal for gestational age.
- D. higher than normal for gestational age.
Correct Answer: C
Rationale: The fundal height at 20 weeks gestation should be at the level of the umbilicus. When it is palpated 3 cm below the umbilicus, it is considered lower than normal for gestational age. This finding suggests possible fetal growth restriction or incorrect dating of the pregnancy. It is crucial to monitor closely for fetal well-being and growth.
Choice A is incorrect because being 3 cm below the umbilicus is not appropriate for gestational age. Choice B is incorrect as it does not necessarily indicate impending complications, but rather a need for further evaluation. Choice D is incorrect as a fundus higher than normal for gestational age would suggest a larger-than-expected fetus or multiple gestation.
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
- A. Primary care
- B. Preventive care
- C. Restorative care
- D. Continuing care
Correct Answer: B
Rationale: Preventive care includes immunizations, screenings, counseling, crisis prevention, and community safety legislation.
A client asks the nurse, “Could you explain how the baby’s blood and my blood separate at delivery?” Which of the following responses is appropriate for the nurse to make?
- A. “When the placenta is born, the circulatory systems separate.”
- B. “When the doctor clamps the cord, the blood stops mixing.”
- C. “The separation happens after the baby takes the first breath. The baby’s oxygen no longer has to come from you.”
- D. “The blood actually never mixes. Your blood supply and the baby’s blood supply are completely separate.”
Correct Answer: D
Rationale: The maternal and fetal blood supplies are separate throughout pregnancy, with oxygen and nutrients exchanged through the placenta.
A baby is exhibiting signs of neonatal abstinence syndrome. Which action would be appropriate for the nursery nurse to make?
- A. Cover the baby with at least two blankets.
- B. Stimulate the baby with rattles.
- C. Play soft classical music in the nursery.
- D. Attach a mobile to the crib.
Correct Answer: A
Rationale: Neonatal abstinence syndrome babies are sensitive to stimuli, so minimizing environmental stimulation, such as by swaddling, is important.