Nokea
A nurse is providing discharge teaching to the parents of a newborn. Which of the following should be included when teaching the parents how to care for the baby's umbilical cord?
- A. Cleanse it with hydrogen peroxide if it starts to smell.
- B. Remove it with sterile tweezers at one week of age.
- C. Call the doctor if greenish drainage appears.
- D. Cover it with sterile dressings until it falls off.
Correct Answer: C
Rationale: Greenish drainage indicates infection and requires medical attention.
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Which fundal assessment finding at 12 hours after birth requires further assessment?
- A. The fundus is palpable at the level of the umbilicus.
- B. The fundus is palpable two fingerbreadths above the umbilicus.
- C. The fundus is palpable one fingerbreadth below the umbilicus.
- D. The fundus is palpable two fingerbreadths below the umbilicus.
Correct Answer: A
Rationale: Rationale:
- A: Fundus palpable at umbilicus level at 12 hours postpartum is concerning for uterine atony or retained placental fragments.
- B, C, D: These findings are within normal range for fundal height postpartum and do not require further assessment.
Summary:
- Choice A is correct because it indicates a potential issue with uterine involution.
- Choices B, C, D are incorrect as they reflect normal fundal height findings postpartum.
The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?
- A. “I may not have a bowel movement until the 2nd postpartum day.”
- B. “If I breastfeed and supplemUenSt wiNth fTormula,O I won’t need any birth control.”
- C. “I know my normal pattern of bowel elimination won’t return until about 8 to 10 days.”
- D. “If I am not breastfeeding, I should use birth control when I resume sexual
Correct Answer: B
Rationale: The correct answer is B because the patient's statement about not needing birth control if breastfeeding and supplementing with formula is incorrect. Breastfeeding is not a reliable form of birth control and additional contraception is necessary to prevent unintended pregnancy.
Explanation:
1. Breastfeeding alone is not a foolproof method of contraception.
2. The combination of breastfeeding and formula feeding does not guarantee contraception.
3. Lactational amenorrhea method (LAM) is only effective if specific criteria are met.
4. The patient's misconception about not needing birth control while breastfeeding and supplementing with formula puts her at risk of unintended pregnancy.
Summary:
A: Correct statement about the timing of bowel movements postpartum.
C: Incorrect statement about the normal pattern of bowel elimination postpartum.
D: Correct statement about the need for birth control if not breastfeeding.
A mother is told that she should bottle feed her child for medical reasons. Which of the following maternal disease states are consistent with the recommendation? Select all that apply.
- A. Untreated
- B. active tuberculosis.
- C. Hepatitis B surface antigen positive.
- D. Human immunodeficiency virus positive.
Correct Answer: A
Rationale: Breastfeeding is contraindicated in untreated TB and HIV.
A postpartum woman has been diagnosed with postpartum psychosis. Which of the following is essential to be included in the family teaching for this client?
- A. The woman should never be left alone with her infant.
- B. Symptoms rarely last more than one week.
- C. Clinical response to medications is usually poor.
- D. The woman must have her vitals assessed every two days.
Correct Answer: A
Rationale: Safety is paramount with psychosis.
A nurse is developing a teaching plan for parents who are taking home their 2-day-old breastfed baby. Which of the following should the nurse include in the plan?
- A. Wash hands well before picking up the baby.
- B. Refrain from having visitors for the first month.
- C. Wear a mask to prevent transmission of a cold.
- D. Sterilize the breast pump supplies after every use.
Correct Answer: A
Rationale: Hand hygiene is crucial to prevent infection.