Nokea
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness?
- A. Wear a cotton bra.
- B. Increase nursing time gradually.
- C. Correctly place the infant on the breast.
- D. Manually express a small amount of milk before nursing.
Correct Answer: C
Rationale: The most effective instruction to prevent nipple soreness when breastfeeding is to correctly place the infant on the breast. Proper latch-on techniques ensure that the baby is properly positioned, reducing the risk of nipple soreness. When the baby is positioned correctly, they can nurse effectively without causing discomfort to the mother.
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The client delivered hours ago and has a boggy uterus displaced above and to the right of the umbilicus. What action should the nurse take?
- A. Inspect the perineal pad.
- B. Encourage voiding.
- C. Monitor vital signs.
- D. Notify the healthcare provider.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In developing a teaching plan for expectant parents, the nurse plans to include information about when the parents can expect the infant's fontanels to close. The LPN/LVN bases the explanation on knowledge that for the normal newborn, the
- A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week.
- B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week.
- C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month.
- D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.
Correct Answer: D
Rationale: The anterior fontanel typically closes between 12 to 18 months, while the posterior fontanel usually closes by the end of the second month. It is important for parents to know these timeframes as it helps in monitoring the normal growth and development of their newborn. Delayed closure of fontanels may indicate potential health issues, and early closure may also warrant further evaluation by healthcare providers.
A child with leukemia is admitted for chemotherapy, and the nursing diagnosis 'altered nutrition, less than body requirements related to anorexia, nausea, and vomiting' is identified. Which intervention should the nurse include in this child's plan of care?
- A. Allow the child to eat any food desired and tolerated.
- B. Provide small, frequent meals that are high in protein and calories.
- C. Offer the child preferred foods and avoid foods that are not well-tolerated.
- D. Consult with a dietitian to provide appropriate nutritional support.
Correct Answer: B
Rationale: In children with leukemia undergoing chemotherapy, anorexia, nausea, and vomiting are common issues leading to altered nutrition. Providing small, frequent meals that are high in protein and calories is essential to address these symptoms and meet the child's nutritional needs effectively. This approach helps in managing the side effects of treatment and supporting the child's nutritional requirements during this challenging time.
The LPN/LVN should explain to a 30-year-old gravida client that alpha fetoprotein testing is recommended for which purpose?
- A. Detect cardiovascular disorders.
- B. Screen for neural tube defects.
- C. Monitor placental functioning.
- D. Assess for maternal pre-eclampsia.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What should the nurse recommend to a woman with mastitis?
- A. Apply heat to the affected area.
- B. Apply cold compresses to the affected area.
- C. Use a breast pump to express milk.
- D. Continue breastfeeding as usual.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.