Nokea
A woman who wishes to breastfeed advises the nurse that she had a breast reduction one year earlier. Which of the following responses by the nurse is appropriate?
- A. Advise the woman that unfortunately she will be unable to breastfeed.
- B. Examine the woman's breasts to see where the incision was placed.
- C. Monitor the baby's daily weights for excessive weight loss.
- D. Inform the woman that reduction surgery rarely affects milk transfer.
Correct Answer: C
Rationale: Weight monitoring ensures adequate milk transfer.
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A new father calls the nurse’s station stating that his wife, who delivered last week, is happy one minute and crying the next. He states, “She was never like this before the baby was born.” How should the nurse best respond?
- A. Reassure him that this behavior is normal.
- B. Advise him to get immediate psychological help for her.
- C. Tell him to ignore the mood swings because they will go away.
- D. Instruct him in the signs, symptoms, and duration of postpartum blues.
Correct Answer: A
Rationale: The correct answer is A. The nurse should reassure the father that his wife's behavior of mood swings is normal after childbirth due to hormonal changes and adjustment to new responsibilities. This response validates the father's concerns, provides education on common postpartum experiences, and offers support.
Incorrect choices:
B: Immediate psychological help is not warranted for typical postpartum mood swings.
C: Ignoring the mood swings can lead to misunderstandings and lack of support for the mother.
D: Instructing on postpartum blues is more clinical and may not address the father's immediate concerns.
What percentage of weight loss did the baby experience? Calculate to the nearest hundredth.
- A. 5.55%
- B. 7.20%
- C. 6.85%
- D. 6.90%
Correct Answer: B
Rationale: Calculation: (3,278 - 3,042) / 3,278 * 100 = 7.20%
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.
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.
A gestational diabetic client, who delivered yesterday, is currently on the postpartum unit. Which of the following statements is appropriate for the nurse to make at this time?
- A. Monitor your blood glucose five times a day until your 6-week checkup.
- B. I will teach you how to inject insulin before you are discharged.
- C. Daily exercise will help to prevent you from becoming diabetic in the future.
- D. Your baby should be assessed every 6 months for signs of juvenile diabetes.
Correct Answer: A
Rationale: Gestational diabetes often resolves after delivery, but monitoring is still important.