Maternal and Newborn Nursing

Maternal and Newborn Nursing Related

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The best indication that correct attachment to the breast has occurred is when the:

  • A. Baby's tongue is securely on top of the nipple.
  • B. Baby's mouth covers most of the areolar surface
  • C. Baby makes frequent loud clucking sounds while nursing at each breast d, Baby sucks each breast vigorously for five minutes before falling asleep
Correct Answer: B

Rationale: The best indication that correct attachment to the breast has occurred is when the baby's mouth covers most of the areolar surface. This is important because proper latch and attachment are crucial for effective breastfeeding. When the baby's mouth covers most of the areola, it ensures that the baby is latched onto the breast properly, allowing them to feed efficiently and receive an adequate amount of milk. This also helps prevent nipple soreness and pain for the mother. Additionally, when the baby's mouth covers most of the areola, it helps ensure that the baby is positioned correctly to effectively stimulate milk production and flow.

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For which condition should the nurse immediately

  • A. Applying her peri-pad from back to front with notify the health care team?
  • B. Periodic breathing in the newborn lasting
  • C. Using the peri-bottle to rinse her perineum after approximately 3 to 5 seconds
  • D. Blood sugar recording of 60 mg/dL in an infant born 6 hours ago
Correct Answer: D

Rationale: A blood sugar recording of 60 mg/dL in an infant born 6 hours ago requires immediate notification of the health care team. This low blood sugar level, also known as hypoglycemia, is a critical concern in newborns as it can lead to serious complications if not promptly addressed. Infants are particularly vulnerable to hypoglycemia due to their limited glycogen stores and high metabolic demands, which can result in inadequate glucose production. Immediate intervention and close monitoring by the healthcare team are essential to prevent potential long-term neurological consequences associated with hypoglycemia in newborns.

The nurse teaches a new mother that neonatal weight loss in the first 3 days of life is most often the result of:

  • A. Allergy to formula
  • B. a hypoglycemic response
  • C. Inadequate breast or formula feeding
  • D. Excretion of fluid via lungs, urinary bladder and bowels.
Correct Answer: D

Rationale: Fluid loss is the primary cause of early weight loss.

Which should be included in teaching regarding treatment for pubic lice?

  • A. The antibiotics should be taken for a full 10 days.
  • B. All clothing should be pretreated with bleach before wearing.
  • C. Shampoo should be applied for at least 2 hours before rinsing.
  • D. The pubic hair should be combed after shampoo is removed.
Correct Answer: D

Rationale: Combing removes lice and nits after treatment.

Why is it important for nurses to approach the topic of sexual history with sensitivity and create a nonjudgmental and confidential environment?

  • A. to increase patient satisfaction with the health-care provider
  • B. to ensure that patients feel comfortable and supported during the assessment
  • C. to promote healthy sexual behaviors among patients
  • D. to comply with health-care regulations and standards
Correct Answer: B

Rationale:

The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?

  • A. Preterm labor.
  • B. Placenta previa.
  • C. Macrosomia.
  • D. Abruptio placentae.
Correct Answer: C

Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.

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