Nokea
A newborn is diagnosed with fetal alcohol syndrome. The nurse is teaching this mother what to expect when she goes home with her baby. The nurse determines the mother needs further instruction when she says which of the following?
- A. The way my baby's face looks now will stay that way.'
- B. My baby may be irritable as a newborn.'
- C. I may need some help coping with my newborn.'
- D. My baby will be fine soon after we are home.'
Correct Answer: D
Rationale: FAS is a lifelong condition, and the neonate will not be 'fine' soon after going home, indicating a need for further instruction.
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A nurse is teaching a client about the lactational amenorrhea method. Which of the following instructions should the nurse include?
- A. Exclusively breastfeed and remain amenorrheic for up to 6 months postpartum.
- B. Breastfeed at least once daily for up to 12 months.
- C. Use this method if your periods have returned.
- D. Supplement with formula for flexibility.
Correct Answer: A
Rationale: The lactational amenorrhea method requires exclusive breastfeeding, amenorrhea, and being less than 6 months postpartum to suppress ovulation effectively. The other options reduce its reliability.
The nurse enlists the aid of an interpreter when caring for a primiparous client from Mexico who speaks very little English and delivered a viable term neonate 8 hours ago. When developing the postpartum dietary plan of care for the client, the nurse would encourage the client's intake of which of the following?
- A. High-fiber foods and adequate fluids.
- B. Low-calorie foods to promote weight loss.
- C. High-protein foods only.
- D. Caffeinated beverages to maintain energy.
Correct Answer: A
Rationale: High-fiber foods and adequate fluids promote bowel function and hydration, which are essential for postpartum recovery.
Which of the following would the nurse include in the teaching plan for a primiparous client about the frequency of breast-feeding the neonate during the first few days?
- A. Feeding the neonate whenever he or she cries.
- B. Restricting feedings to 1 to 2 minutes per side.
- C. Feeding the neonate for at least 10 minutes per side.
- D. Maintaining feeding for 20 to 30 minutes per side.
Correct Answer: C
Rationale: Feeding for at least 10 minutes per side ensures adequate milk transfer and stimulation of milk production.
When reviewing the prenatal history for a newly delivered neonate, the nurse notes that the mother has neurofibromatosis. The nurse should further assess the neonate for:
- A. Caffé au lait spots.
- B. Port wine nevus.
- C. Strawberry hemangiomas.
Correct Answer: A
Rationale: Neurofibromatosis is associated with café au lait spots, which are a hallmark sign to assess in the neonate.
A client in sickle cell crisis has been hospitalized during her pregnancy. After giving discharge instructions, the nurse determines the client needs further teaching when she states which of the following?
- A. "I will need more frequent appointments during the remainder of the pregnancy."
- B. "Signs of any type of infection must be reported immediately."
- C. "At the earliest signs of a crisis, I need to seek treatment."
- D. "I have this disease because I don't eat enough food with iron."
Correct Answer: D
Rationale: Sickle cell disease is genetic, not caused by dietary iron deficiency.