Nokea
The nurse is caring for a postoperative cesarean client. The woman is obese and is an insulin-dependent diabetic. For which of the following complications should the nurse carefully monitor this client?
- A. Failed lactogenesis.
- B. Dysfunctional parenting.
- C. Wound dehiscence.
- D. Projectile vomiting.
Correct Answer: C
Rationale: Obesity and diabetes increase the risk of wound complications.
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The nurse is going to assist the mother with the first breastfeeding experience. Which of the following actions should the nurse perform first?
- A. Compare mother's and baby's identification bracelets.
- B. Help the mother into a comfortable position.
- C. Teach the mother about a proper breast latch.
- D. Tickle the baby's lips with the mother's nipple.
Correct Answer: A
Rationale: Identity verification ensures correct pairing.
The nurse is concerned that a bottle-fed baby may become obese because of which activity by the mother?
- A. She encourages the baby to finish the bottle at each feed.
- B. She feeds the baby every 3 to 4 hours.
- C. She feeds the baby a soy-based formula.
- D. She burps the baby every 1/2 to 1 ounce.
Correct Answer: A
Rationale: Overfeeding can contribute to obesity.
The nurse is developing a standard care plan for the post-cesarean client. Which of the following should the nurse plan to implement?
- A. Maintain client in left lateral recumbent position.
- B. Teach sitz bath use on second postoperative day.
- C. Perform active range-of-motion exercises until ambulating.
- D. Assess central venous pressure during first postoperative day.
Correct Answer: B
Rationale: Sitz baths promote healing and comfort.
On admission to the labor and delivery suite, the nurse assesses the discharge needs of a primipara who will be discharged home 4 days after a cesarean delivery. Which of the following questions should the nurse ask the client?
- A. Have you ever had anesthesia before?
- B. Do you have any allergies?
- C. Do you scar easily?
- D. Are there many stairs in your home?
Correct Answer: D
Rationale: Home environment impacts recovery.
A breastfeeding woman calls the pediatric nurse with the following complaint:"I woke up this morning with a terrible cold. I don't want my baby to get sick. Which kind of formula should I have my husband feed the baby until I get better?" Which of the following replies by the nurse is appropriate at this time?
- A. Any formula brand is satisfactory, but it is essential that it be mixed with water that has been boiled for at least 5 minutes.
- B. Don't forget to pump your breasts every 3 hours while the baby is being fed the prescribed formula.
- C. The best way to keep your baby from getting sick is for you to keep breastfeeding him rather than switching him to formula.
- D. In addition to giving the baby formula, you should wear a surgical face mask when you are around him.
Correct Answer: C
Rationale: Breastfeeding provides antibodies to protect the baby.