Nokea
If a nursing neonate has a 5:1 suck/swallow ratio, this indicates
- A. non-nutritive suckling
- B. normal suckling
- C. fast but adequate suckling
Correct Answer: B
Rationale: A 5:1 ratio reflects coordinated sucking and swallowing, indicative of efficient feeding.
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You are taking care of a patient who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?
- A. Documentation of a pessary in the operative procedure notes by the physician
- B. Removal of vaginal packing as ordered by the physician
- C. Use of a cell saver for transfusion therapy in the postoperative period
- D. Order for removal of staples 2 to 3 days post-procedure
Correct Answer: B
Rationale: The correct answer is B: Removal of vaginal packing as ordered by the physician. This is a priority assessment because leaving the vaginal packing in place for too long can lead to complications such as infection or tissue damage. It is important to follow the physician's orders for timely removal to prevent these risks.
A: Documentation of a pessary in the operative notes is important for accuracy but not a priority assessment in the postoperative period.
C: The use of a cell saver for transfusion therapy is not directly related to the immediate postoperative care of a colporrhaphy patient and is not a priority assessment in this context.
D: The removal of staples 2 to 3 days post-procedure is important but not as time-sensitive as the removal of vaginal packing. It can be done at a later stage without immediate risk to the patient.
If bottle-feeding a neonate with cleft lip and cleft palate, the nipple should be
- A. shorter than normal size
- B. normal size for gestation
- C. longer than normal size
Correct Answer: C
Rationale: Longer nipples accommodate structural anomalies, facilitating feeding.
Which of the following statements is not true about the mechanism controlling lactation?
- A. The anterior pituitary secretes prolactin.
- B. The posterior pituitary secretes oxytocin.
- C. Prolactin stimulates the ejection of milk into the ducts of the mammary glands.
- D. All of the above statements are true about the mechanism controlling lactation.
Correct Answer: C
Rationale: Prolactin stimulates milk production, while oxytocin stimulates milk ejection.
During the "claiming" part of parent-neonate attachment, the parent usually first compares the child to other family members by noticing how the neonate is
- A. similar
- B. unique
- C. different
Correct Answer: A
Rationale: Noticing similarities fosters connection and identification with the newborn.
Milk is manufactured within the _____ of the breast.
- A. Lactiferous ducts
- B. Alveoli
- C. Myoepithelium
- D. Montgomery's tubercles
Correct Answer: B
Rationale: The alveoli are the milk-producing structures within the breast.