Postpartum Body Changes

Postpartum Body Changes Related

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The nurse is teaching a non–breastfeeding patient measure to suppress lactation. Which information should the nurse include in the teaching session? (Select all that apply.)

  • A. Avoid massaging the breasts.
  • B. Allow warm shower water to run over the breasts.
  • C. If the breasts become engorged, pumping is recommended
  • D. Ice packs or cabbage leaves can be applied to the breasts to relieve discomfort.
Correct Answer: A

Rationale: The correct answer is A: Avoid massaging the breasts. Massaging the breasts can stimulate milk production and worsen engorgement. Therefore, it is essential to avoid any stimulation to prevent further lactation.

Summary:
- Choice B: Allowing warm shower water to run over the breasts can stimulate milk production, so it should be avoided.
- Choice C: Pumping can also stimulate milk production and should be avoided unless instructed by a healthcare provider.
- Choice D: Ice packs or cabbage leaves can provide relief from discomfort but do not suppress lactation.

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A neonate, who is being admitted into the well-baby nursery, is exhibiting each of the following assessment findings. Which of the findings should the nurse report to the primary health care provider? Select all that apply.

  • A. Harlequin sign.
  • B. Extension of the toes when the lateral aspect of the sole is stroked.
  • C. Elbow moves past the midline when the scarf sign is assessed.
  • D. Slightly curved pinnae of the ears that are slow to recoil.
Correct Answer: A

Rationale: Harlequin sign indicates vascular compromise.

A breastfeeding client is being seen in the emergency department with a hard, red, warm nodule in the upper outer quadrant of her left breast. Her vital signs are: T 104.6°F, P 100, R 20, and BP 110/60. She has a recent history of mastitis and is crying in pain. Which of the following nursing diagnoses is highest priority?

  • A. Ineffective breastfeeding.
  • B. Infection.
  • C. Ineffective individual coping.
  • D. Pain.
Correct Answer: B

Rationale: Infection is the primary concern.

A nurse is developing a teaching plan for parents who are taking home their 2-day-old breastfed baby. Which of the following should the nurse include in the plan?

  • A. Wash hands well before picking up the baby.
  • B. Refrain from having visitors for the first month.
  • C. Wear a mask to prevent transmission of a cold.
  • D. Sterilize the breast pump supplies after every use.
Correct Answer: A

Rationale: Hand hygiene is crucial to prevent infection.

The nurse is discharging five Rh-negative clients from the maternity unit. The nurse knows that the teaching was successful when the client who had which of the following deliveries asks why she must receive a RhoGAM injection? Select one that doesn't apply

  • A. Abortion at 10 weeks' gestation.
  • B. Amniocentesis at 16 weeks' gestation.
  • C. Fetal demise at 24 weeks' gestation.
  • D. Birth of Rh-negative twins at 35 weeks' gestation.
Correct Answer: D

Rationale: RhoGAM is given in cases where there is potential exposure to Rh-positive blood.

Four newborns are in the neonatal nursery, none of whom is crying or in distress. Which of the babies should the nurse report to the neonatologist?

  • A. 16-hour-old baby who has yet to pass meconium.
  • B. 16-hour-old baby whose blood glucose is 50 mg/dL.
  • C. 2-day-old baby who is breathing irregularly at 70 breaths per minute.
  • D. 2-day-old baby who is excreting a milky discharge from both nipples.
Correct Answer: C

Rationale: Irregular breathing at 70 breaths per minute could indicate respiratory distress and requires further evaluation.

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