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A breastfeeding woman, 6 weeks postdelivery, must go into the hospital for a hemorrhoidectomy. Which of the following is the best intervention regarding infant feeding?
- A. Have the woman wean the baby to formula.
- B. Have the baby stay in the hospital room with the mother.
- C. Have the woman pump and dump her milk for two weeks.
- D. Have the baby bottle fed milk that the mother has stored.
Correct Answer: D
Rationale: Stored milk ensures continued breastfeeding.
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A mother asks the nurse to tell her about the responsiveness of neonates at birth. Which of the following answers is appropriate? Select one that doesn't apply.
- A. Babies have a poorly developed sense of smell until they are 2 months old.
- B. Babies respond to all forms of taste well
- C. but they prefer to eat sweet things like breast milk.
- D. Babies are especially sensitive to being touched and cuddled.
Correct Answer: A
Rationale: Newborns have limited senses initially but can distinguish tastes, enjoy touch, and have limited vision until around 3 months.
A client is postpartum 24 hours from a spontaneous vaginal delivery with rupture of membranes for 42 hours. Which of the following signs/symptoms should the nurse report to the client's health care practitioner?
- A. Foul-smelling lochia.
- B. Engorged breasts.
- C. Cracked nipples.
- D. Cluster of hemorrhoids.
Correct Answer: A
Rationale: Foul-smelling lochia indicates infection.
On admission to the maternity unit, it is learned that a mother has smoked 2 packs of cigarettes per day and expects to continue to smoke after discharge. The mother also states that she expects to breastfeed her baby. The nurse's response should be based on which of the following?
- A. Breastfeeding is contraindicated if the mother smokes cigarettes.
- B. Breastfeeding is protective for the baby and should be encouraged.
- C. A 2-pack-a-day smoker should be reported to child protective services for child abuse.
- D. A mother who admits to smoking cigarettes may also be abusing illicit substances.
Correct Answer: B
Rationale: Breastfeeding provides benefits despite maternal smoking.
A client, G1 P0000, is PP1 from a normal spontaneous delivery of a baby boy, Apgar 5/6. Because the client exhibited addictive behaviors, a toxicology assessment was performed; the results were positive for alcohol and cocaine. Which of the following interventions is appropriate for the nurse to perform for this postpartum client?
- A. Strongly advise the client to breastfeed her baby.
- B. Perform hourly incentive spirometer respiratory assessments.
- C. Suggest that the nursery nurse feed the baby in the nursery.
- D. Provide the client with supervised instruction on baby-care skills.
Correct Answer: D
Rationale: Supervised instruction ensures safe infant care.
The nurse is going to assist the mother with the first breastfeeding experience. Which of the following actions should the nurse perform first?
- A. Compare mother's and baby's identification bracelets.
- B. Help the mother into a comfortable position.
- C. Teach the mother about a proper breast latch.
- D. Tickle the baby's lips with the mother's nipple.
Correct Answer: A
Rationale: Identity verification ensures correct pairing.