Nokea
A primiparous client diagnosed with cystitis at LIM 48 hours postpartum who is receiving intravenous ampicillin asks the nurse, "Can I still continue to breast-feed my baby?" The nurse should tell the client:
- A. You can continue to breast-feed as long as you want to do so.
- B. Alternate your breast-feeding with formula feeding to help you rest.
- C. You'll need to discontinue breast-feeding until the antibiotic therapy is stopped.
- D. You'll need to modify your technique by manually pumping your breasts.
Correct Answer: A
Rationale: Ampicillin is generally safe for breastfeeding, allowing the client to continue without interruption.
You may also like to solve these questions
The nurse is caring for a 22-year-old G 2, P 2 client who has disseminated intravascular coagulation after delivering a dead fetus. Which findings are the highest priority to report to the health care provider?
- A. Activated partial thromboplastin time(APTT) of 30 seconds.
- B. Hemoglobin of 11.5 g/dL.
- C. Urinary output of 25 mL in the past hour.
- D. Platelets at 149,000/mm3.
Correct Answer: C
Rationale: Decreased urinary output indicates potential renal failure.
A nurse is counseling a client about the use of a diaphragm. Which of the following client statements indicates a need for further teaching?
- A. I need to use spermicide with the diaphragm.
- B. I can insert the diaphragm up to 6 hours before intercourse.
- C. I should leave the diaphragm in place for at least 6 hours after intercourse.
- D. I can reuse the diaphragm without cleaning it.
Correct Answer: D
Rationale: The diaphragm must be cleaned after each use to maintain hygiene and effectiveness. The other statements are correct, indicating a need for further teaching about cleaning.
As a nurse begins her shift on the obstetrical unit, there are several new admissions. The client with which of the following conditions would be a candidate for induction?
- A. Pregnancy-induced hypertension (PIH).
- B. Active herpes.
- C. Face presentation.
- D. Fetus with late decelerations.
Correct Answer: A
Rationale: Pregnancy-induced hypertension (PIH) is an indication for induction to prevent maternal-fetal complications. Active herpes, face presentation, or late decelerations are contraindications due to risks of infection, dystocia, or fetal distress.
A breast-feeding primiparous client with a midline episiotomy is prescribed ibuprofen 200 mg orally. The nurse instructs the client to take the medication:
- A. Before going to bed.
- B. Midway between feedings.
- C. Immediately after a feeding.
- D. When providing supplemental formula.
Correct Answer: C
Rationale: Taking ibuprofen after feeding minimizes the amount of medication in breast milk during the next feeding.
The nurse notices that a client who has just delivered her infant is short of breath, ashen in color, and begins to cough. She becomes limp on the delivery table. Determine the nursing actions in the order they should occur.
- A. Open airway using head tilt-chin lift.
- B. Ask staff to activate emergency response system.
- C. Establish unresponsiveness.
- D. Give 2 breaths.
- E. Check the pulse.
Correct Answer: C,A,D,E,B
Rationale: Assess responsiveness first, then secure the airway, breathing, and circulation.