Nokea
A new mother has decided not to breastfeed her newborn. What information will the nurse include when planning to teach the mother about formula feeding?
- A. Positioning the bottle so that the nipple is full of formula during the entire feeding
- B. Heating the infant formula in a microwave
- C. Burping the infant after 4 ounces and again when the bottle is empty
- D. Propping a bottle for a feeding
Correct Answer: A
Rationale: The nipple of the bottle should be kept full of formula to reduce the amount of air the infant swallows.
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The nurse is caring for a woman of Middle Eastern descent on the first postpartum day. Education is provided regarding instruction on use of a sitz bath. What documentation best indicates that the woman has understood the provided instruction?
- A. Patient correctly performed return demonstration.
- B. Patient indicated understanding by nodding head with instruction.
- C. Patient verbalizes 'I understand.'
- D. Family member indicates patient understands procedure.
Correct Answer: A
Rationale: The nurse may need an interpreter to understand and provide optimal care to the woman and her family. A return demonstration is the most reliable indicator of understanding, especially considering cultural nuances where nodding may reflect courtesy rather than comprehension.
A woman required a cesarean section for safe delivery of her newborn. She is planning to breastfeed and verbalized concern about pain. What is the best suggestion by the nurse?
- A. Consider formula feeding for the first few days.'
- B. Pumping breast milk would be best for now.'
- C. Take pain medication 30 to 40 minutes prior to nursing.'
- D. Use the football hold when breastfeeding.'
Correct Answer: D
Rationale: The football hold is recommended to decrease pressure on the operative site, making breastfeeding more comfortable for a mother post-cesarean section.
After delivery, the nurse's assessment reveals a soft, boggy uterus located above the level of the umbilicus. What is the most appropriate nursing intervention?
- A. Notify the physician.
- B. Massage the fundus.
- C. Initiate measures that encourage voiding.
- D. Position the patient flat.
Correct Answer: B
Rationale: A poorly contracted uterus should be massaged until firm to prevent hemorrhage.
What should the nurse's first action be when postpartum hemorrhage from uterine atony is suspected?
- A. Teach the patient how to massage the abdomen and then get help.
- B. Start IV fluids to prevent hypovolemia and then notify the registered nurse.
- C. Begin massaging the fundus while another person notifies the physician.
Correct Answer: C
Rationale: Massaging the fundus is the immediate action to stimulate uterine contractions and control bleeding, while another person notifies the physician for further management.
What will the nurse's instructions for a new mother to care for the infant's umbilical cord include?
- A. Keeping the area covered with a sterile dressing
- B. Dressing the stump with antibiotic ointment at every diaper change
- C. Fastening the diaper low to allow for air circulation
- D. Giving the newborn a daily tub bath until the cord falls off
Correct Answer: C
Rationale: Diaper placement below the umbilical stump allows for drying by air circulation.