Nokea
A woman states that she is going to bottle feed her baby because, 'I hate milk and I know that to make good breast milk I will have to drink milk.' The nurse's response about producing high-quality breast milk should be based on which of the following?
- A. The mother must drink at least 3 glasses of milk per day to absorb sufficient quantities of calcium.
- B. The mother should consume at least 1 glass of milk per day but should also consume other dairy products like cheese.
- C. The mother can consume a variety of good calcium sources like broccoli and fish with bones as well as dairy products.
- D. The mother must monitor her protein intake more than her calcium intake because the baby needs the protein for growth.
Correct Answer: C
Rationale: Diverse dietary sources provide adequate nutrition.
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A breastfeeding mother mentions to the nurse that she has heard that babies sleep better at night if they are given a small amount of rice cereal in the evening. Which of the following comments by the nurse is appropriate?
- A. That is correct. The rice cereal takes longer for them to digest so they sleep better and longer.
- B. It is recommended that babies receive only breast milk for the first 4 to 6 months of their lives.
- C. It is too early for rice cereal
- D. but I would recommend giving apple sauce at 3 months of age and apple juice 1 month later.
Correct Answer: B
Rationale: Exclusive breastfeeding is recommended for the first 6 months.
A breastfeeding mother who is 2 weeks postpartum is informed by her pediatrician that her 4-year-old has chickenpox (varicella). The mother calls the nursery nurse because she is concerned about having the baby in contact with the sick sibling. The mother had chickenpox as a child. Which of the following responses by the nurse is appropriate?
- A. The baby received passive immunity through the placenta
- B. plus the breast milk will also be protective.
- C. The baby should stay with relatives until the ill sibling recovers from the episode of chickenpox.
- D. Chickenpox is transmitted by contact route so careful hand washing should prevent transmission.
Correct Answer: A
Rationale: Maternal antibodies protect the baby, and breast milk enhances immunity.
A client received general anesthesia during her cesarean section 4 hours ago. Which of the following postpartum nursing interventions is important for the nurse to make?
- A. Place the client flat in bed.
- B. Assess for dependent edema.
- C. Auscultate lung fields.
- D. Check patellar reflexes.
Correct Answer: C
Rationale: General anesthesia can impair lung function, necessitating lung auscultation.
The nursery nurse is careful to wear gloves when admitting neonates into the nursery. Which of the following is the scientific rationale for this action?
- A. Meconium is filled with enteric bacteria.
- B. Amniotic fluid may contain harmful viruses.
- C. The high alkalinity of fetal urine is caustic to the skin.
- D. The baby is high risk for infection and must be protected.
Correct Answer: A
Rationale: Meconium contains enteric bacteria, making it important to use gloves to prevent contamination.
A client is 36 hours post-cesarean section. Which of the following assessments would indicate that the client may have a paralytic ileus?
- A. Abdominal striae.
- B. Oliguria.
- C. Omphalocele.
- D. Absent bowel sounds.
Correct Answer: D
Rationale: Absence of bowel sounds suggests ileus.