Nokea
The caregiver is teaching a new parent about signs of adequate breastfeeding. Which statement by the parent indicates understanding?
- A. My baby should have a bowel movement once a week.
- B. My baby should wet at least six diapers a day.
- C. My baby should feed for 5 minutes on each breast.
- D. My baby should sleep through the night without waking up to feed.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A postpartum client is being discharged. The nurse should include which information about postpartum depression?
- A. It can occur at any time postpartum
- B. It is a serious condition that requires attention
- C. It can affect the ability to care for the newborn
- D. It may necessitate medical intervention
Correct Answer: C
Rationale: Postpartum depression is a serious condition that can impact a mother's ability to care for her newborn. It is crucial for healthcare providers to educate clients about the signs and symptoms of postpartum depression, as it may necessitate medical intervention to ensure the well-being of both the mother and the newborn.
The caregiver is teaching a new mother about infant safety. Which statement indicates that further teaching is needed?
- A. I will place my baby on their back to sleep.
- B. I will keep soft toys and pillows out of the crib.
- C. I will use a car seat for every car ride.
- D. I will allow my baby to sleep in my bed.
Correct Answer: D
Rationale: Allowing a baby to sleep in an adult bed increases the risk of suffocation and Sudden Infant Death Syndrome (SIDS). It is safer for infants to sleep on a firm, flat surface in their own crib or bassinet to reduce the risk of accidental suffocation or strangulation. Therefore, the caregiver should be advised against co-sleeping with the infant to ensure the baby's safety.
A postpartum client is experiencing heavy lochia and a boggy uterus. What should be the nurse's initial action?
- A. Administer a uterotonic medication
- B. Encourage the client to void
- C. Perform fundal massage
- D. Increase the client's fluid intake
Correct Answer: C
Rationale: The correct initial action for a postpartum client experiencing heavy lochia and a boggy uterus is to perform fundal massage. Fundal massage helps to firm the uterus and reduce bleeding by promoting uterine contractions, which can assist in preventing postpartum hemorrhage. Administering uterotonic medication may be necessary in some cases but should not be the initial action. Encouraging the client to void and increasing fluid intake can be important interventions but are not the priority in this situation where immediate uterine firmness is needed to control bleeding.
The nurse is preparing to administer erythromycin eye ointment to a newborn. The mother asks why this is necessary. What is the nurse's best response?
- A. It helps to prevent eye infections caused by bacteria in the birth canal.
- B. It protects the baby's eyes from bright lights in the delivery room.
- C. It prevents the development of jaundice.
- D. It helps the baby see more clearly after birth.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is providing postpartum care to a client who had a vaginal delivery. Which finding would require further assessment?
- A. Perineal swelling
- B. Moderate lochia serosa
- C. Headache unrelieved by analgesics
- D. Breast engorgement
Correct Answer: C
Rationale: A headache unrelieved by analgesics can be a sign of a serious condition such as preeclampsia, which is a life-threatening condition characterized by high blood pressure and often protein in the urine. Prompt assessment and intervention are crucial to prevent complications for both the mother and baby.