Nokea
The nurse is providing discharge counseling to a woman who is breastfeeding her baby. What should the nurse advise the woman to do if she should palpate tender, hard nodules in her breasts?
- A. Gently massage the areas toward the nipple, especially during feedings.
- B. Apply ice to the areas between feedings.
- C. Bottle feed for the next twenty-four hours.
- D. Apply lanolin ointment to the areas after each and every breastfeeding.
Correct Answer: A
Rationale: Massaging helps resolve blocked ducts.
You may also like to solve these questions
A woman, 26 weeks' gestation, has just delivered a fetal demise. Which of the following nursing actions is appropriate at this time?
- A. Remind the mother that she will be able to have another baby in the future.
- B. Dress the baby in a tee shirt and swaddle the baby in a receiving blanket.
- C. Ask the woman if she would like the doctor to prescribe a sedative for her.
- D. Remove the baby from the delivery room as quickly as possible.
Correct Answer: B
Rationale: Providing dignity to the baby is important.
Which fundal assessment finding at 12 hours after birth requires further assessment?
- A. The fundus is palpable at the level of the umbilicus.
- B. The fundus is palpable two fingerbreadths above the umbilicus.
- C. The fundus is palpable one fingerbreadth below the umbilicus.
- D. The fundus is palpable two fingerbreadths below the umbilicus.
Correct Answer: A
Rationale: Rationale:
- A: Fundus palpable at umbilicus level at 12 hours postpartum is concerning for uterine atony or retained placental fragments.
- B, C, D: These findings are within normal range for fundal height postpartum and do not require further assessment.
Summary:
- Choice A is correct because it indicates a potential issue with uterine involution.
- Choices B, C, D are incorrect as they reflect normal fundal height findings postpartum.
Cloxacillin 500 mg by mouth four times per day for 10 days has been ordered for a client with a breast abscess. The client states that she is unable to swallow pills. The oral solution is available as 125 mg/5 mL. How many mL of medicine should the woman take per dose? (Calculate to the nearest whole.)
- A. 20
- B. NA
- C. NA
- D. NA
Correct Answer: A
Rationale: Calculation: 500 mg ÷ 125 mg × 5 mL = 20 mL.
Which of the following drawings is consistent with a baby who was in the frank breech position in utero?
- A. Drawing 1.
- B. Drawing 2.
- C. Drawing 3.
- D. Drawing 4.
Correct Answer: C
Rationale: Frank breech position involves flexed hips and extended knees.
A 2-day-postpartum breastfeeding client is complaining of pain during feedings. Which of the following may be causing the pain?
- A. The neonate's frenulum is attached to the tip of the tongue.
- B. The baby's tongue forms a trough around the breast during the feedings.
- C. The newborn's feeds last for 30 minutes every 2 hours.
- D. The baby is latched to the nipple and to about 1 inch of the mother's areola.
Correct Answer: D
Rationale: Improper latch causes pain and nipple trauma.