A nurse is reinforcing discharge instructions about breastfeeding with a client.
- A. You should recognize that your baby sucking on his hands is a hunger cue.
- B. You should feed your baby for 10 minutes on each breast.
- C. You should feed your baby six times a day.
- D. You should wake your baby at least every 6 hours at night for feedings.
Correct Answer: A
Rationale: Recognizing hunger cues is crucial for successful breastfeeding. Early hunger cues like sucking on hands, rooting, and lip-smacking indicate that the baby is ready to feed. Responding to these cues can help establish a good breastfeeding routine and ensure the baby gets adequate nutrition before becoming too distressed to feed effectively.
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A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome.
Which of the following actions should the nurse take first?
- A. Weigh the newborn's wet diaper.
- B. Determine the newborn's respiratory rate.
- C. Auscultate the newborn's bowel sounds.
- D. Swaddle the newborn impretermn blankets.
Correct Answer: B
Rationale: Determining the respiratory rate is critical first, as neonatal abstinence syndrome can cause respiratory distress, requiring immediate intervention for the newborn's safety.
A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
- A. Perform unbiased teaching
- B. Assess the client's socioeconomic status
- C. Collect a dietary history
- D. Select the best method of contraception for the client.
Correct Answer: A
Rationale: The nurse should provide comprehensive and unbiased information about the various methods of contraception available. This involves explaining the pros and cons of each method, effectiveness, potential side effects, and how each method aligns with the client's lifestyle and health needs, allowing the client to make an informed decision.
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Which of the following actions should the nurse encourage the client to take?
- A. Restrict fluids to 1,000 mL/day.
- B. Take an over-the-counter antacid
- C. Increase intake of fresh fruits
- D. Eat dry, bland foods in the morning
Correct Answer: D
Rationale: Encouraging the client to eat dry, bland foods in the morning, like crackers or toast, can help alleviate nausea associated with morning sickness by settling the stomach, making it an effective strategy.
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder.
Which of the following statements should the nurse make?
- A. You will be prescribed methadone.
- B. You will be prescribed aripiprazole.
- C. You will be prescribed naloxone.
- D. You will be prescribed diazepam.
Correct Answer: A
Rationale: Methadone maintenance therapy is a commonly used treatment for opioid use disorder in pregnant women. Methadone helps to manage withdrawal symptoms, reduce cravings, and stabilize the individual, promoting healthier outcomes for both the mother and the baby.
A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia.
Which of the following interventions should the nurse recommend including in the plan?
- A. Reposition the newborn every 2 to 3 hr.
- B. Monitor the newborn's blood glucose level every 2 hr.
- C. Give the newborn 30 ml of distilled water after each feeding.
- D. Apply a water-based ointment to the newborn's skin every 4 to 6 hr.
Correct Answer: A
Rationale: Repositioning the newborn every 2 to 3 hours helps ensure uniform exposure to the phototherapy lights, maximizing the effectiveness of the treatment. This prevents uneven distribution of light and reduces the risk of pressure ulcers or skin breakdown from prolonged immobility.
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