Nokea
A 2-day-old, exclusively breastfed baby is to be discharged home. Under what conditions should the nurse teach the parents to call the pediatrician?
- A. If the baby feeds 8 to 12 times each day.
- B. If the baby urinates 6 to 10 times each day.
- C. If the baby has stools that are watery and bright yellow.
- D. If the baby has eyes and skin that are tinged yellow.
Correct Answer: D
Rationale: Jaundice may indicate hyperbilirubinemia.
You may also like to solve these questions
A 2-day-postpartum breastfeeding client is complaining of pain during feedings. Which of the following may be causing the pain?
- A. The neonate's frenulum is attached to the tip of the tongue.
- B. The baby's tongue forms a trough around the breast during the feedings.
- C. The newborn's feeds last for 30 minutes every 2 hours.
- D. The baby is latched to the nipple and to about 1 inch of the mother's areola.
Correct Answer: D
Rationale: Improper latch causes pain and nipple trauma.
The nurse is teaching a non–breastfeeding patient measure to suppress lactation. Which information should the nurse include in the teaching session? (Select all that apply.)
- A. Avoid massaging the breasts.
- B. Allow warm shower water to run over the breasts.
- C. If the breasts become engorged, pumping is recommended
- D. Ice packs or cabbage leaves can be applied to the breasts to relieve discomfort.
Correct Answer: A
Rationale: The correct answer is A: Avoid massaging the breasts. Massaging the breasts can stimulate milk production and worsen engorgement. Therefore, it is essential to avoid any stimulation to prevent further lactation.
Summary:
- Choice B: Allowing warm shower water to run over the breasts can stimulate milk production, so it should be avoided.
- Choice C: Pumping can also stimulate milk production and should be avoided unless instructed by a healthcare provider.
- Choice D: Ice packs or cabbage leaves can provide relief from discomfort but do not suppress lactation.
Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
- A. Pain level 5 on scale of 0 to 10
- B. Saturated pad over a 2-hour period
- C. Urinary output of 500 mL in one voiding
- D. Uterine fundus 2 cm above the umbilicus
Correct Answer: B
Rationale: The correct answer is B because a saturated pad over a 2-hour period 24 hours after vaginal birth could indicate postpartum hemorrhage, a serious complication requiring immediate intervention. Excessive bleeding can lead to hypovolemic shock and endanger the mother's life. Monitoring and managing postpartum bleeding is crucial to prevent complications.
A: Pain level of 5 is subjective and may vary among individuals. It does not necessarily indicate a need for immediate intervention.
C: Urinary output of 500 mL in one voiding is within the normal range for postpartum women and does not suggest an immediate need for intervention.
D: Uterine fundus 2 cm above the umbilicus is within the expected range for 24 hours postpartum and does not indicate a need for immediate intervention.
A breastfeeding client calls her obstetrician stating that her baby was diagnosed with thrush and that her breasts have become infected as well. Which of the following organisms has caused the baby's and mother's infection?
- A. Staphylococcus aureus.
- B. Streptococcus pneumoniae.
- C. Escherichia coli.
- D. Candida albicans.
Correct Answer: D
Rationale: Candida causes thrush.
A mother asks whether or not she should be concerned that her baby never opens his mouth to breathe when his nose is so small. Which of the following is the nurse's best response?
- A. The baby does rarely open his mouth but you can see that he isn't in any distress.
- B. Babies usually breathe in and out through their noses so they can feed without choking.
- C. Everything about babies is small. It truly is amazing how everything works so well.
- D. You are right. I will report the baby's small nasal openings to the pediatrician right away.
Correct Answer: B
Rationale: Nasal breathing is normal in newborns to allow simultaneous feeding and breathing.