Nokea
The nurse is providing discharge teaching to a woman who delivered her first child 2 days ago. The nurse understands that additional information is needed if the client makes which statement?
- A. The flow will increase if I am too active.
- B. I should expect a lighter flow next week.
- C. My bleeding will remain red for about a month.
- D. I will be able to use a pantiliner in a day or two.
Correct Answer: C
Rationale: Postpartum bleeding typically transitions from red to pink to white over several weeks. Persistent bright red bleeding for a month indicates a potential problem.
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In preparing a family for discharge from the perinatal unit, which method of nail care does the nurse teach as the preferred method?
- A. Cutting the nails with sharp scissors
- B. Filing the nails with a fine emery board
- C. Letting the nails break off naturally
- D. Wrapping the infant's hands in mittens
Correct Answer: B
Rationale: Several options exist for nail care to keep the infant from scratching her face. The nails can be cut, but there is a risk of damaging the delicate skin around the nail. This is best done while the baby sleeps. Letting the nails break off is not a good option, as the child may injure herself before they break. Covering the hands with mittens or a tee shirt is a possible option, but does not allow the child to suck on the fingers for self-soothing. The best option is to file the nails gently with a fine-grained emery board.
Which woman is most likely to continue breastfeeding beyond 6 months?
- A. A woman who avoids using bottles.
- B. A woman who uses formula for every other feeding.
- C. A woman who offers water or formula after breastfeeding.
- D. A woman whose infant is satisfied for 4 hours after the feeding.
Correct Answer: A
Rationale: The correct answer is A because avoiding bottles helps maintain the baby's preference for breastfeeding, leading to a higher likelihood of continuing beyond 6 months. Using formula for every other feeding (choice B) introduces a different feeding method, potentially reducing breastfeeding duration. Offering water or formula after breastfeeding (choice C) can reduce the baby's interest in breastfeeding exclusively. A satisfied baby for 4 hours after feeding (choice D) does not necessarily indicate a longer breastfeeding duration as other factors like feeding frequency play a role.
What is a routine health provider visiting schedule for a newborn in their first year of life, beginning at 1 month of age?
- A. 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months of age
- B. 1 month to 12 months, visiting once each month
- C. 1 month, 3 months, 6 months, 9 months, and 12 months
- D. 1 month, 3 months, 6 months, 12 months
Correct Answer: A
Rationale: Routine visits occur at 1, 2, 4, 6, 9, and 12 months.
The nurse must administer erythromycin ophthalmic ointment to a newborn after birth. The nurse should:
- A. instill within 15 minutes of birth for maximum effectiveness
- B. cleanse eyes from inner to outer canthus before administration
- C. apply directly over the cornea.
- D. flush eyes 10 minutes after instillation to reduce irritation
Correct Answer: B
Rationale: Cleansing the eyes from inner to outer canthus ensures that any debris or contaminants are removed before administration, which helps prevent infection and ensures the medication's effectiveness.
The community nurse is meeting a new mother for the first time. The client delivered her first child 5 days ago after a 12-hour labor. Neither the mother nor the infant had any complications during the birth or postpartum period. Which statement by the client would indicate to the nurse that the client is experiencing postpartum blues?
- A. One minute I'm laughing and the next I'm crying.
- B. My husband is helping out by changing the baby at night.
- C. Breastfeeding is going quite well now that the engorgement is gone.
- D. I am so happy and blessed to have my new baby.
Correct Answer: A
Rationale: Postpartum blues often manifest as mood swings, tearfulness, and irritability, which are common in the first few days after delivery.