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To meet the goal of promoting infant feeding in a breastfed baby, the nurse should teach the mother to do which of the following? Select all that apply.
- A. Feed the baby on a 3- to 4-hour schedule.
- B. Alternate breast milk and formula for each feeding.
- C. Stop breastfeeding if her nipples get sore.
- D. Maintain on-demand breastfeeding for the first 4 weeks.
Correct Answer: D
Rationale: On-demand feeding and maternal self-care promote successful breastfeeding.
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What action is important for a woman using the contraceptive sponge to maximize its effectiveness?
- A. Insert the sponge at least one hour before intercourse.
- B. Thoroughly moisten the sponge with water before inserting.
- C. Spermicidal jelly must be inserted at the same time the sponge is inserted.
- D. A new sponge must be inserted every time a couple has intercourse.
Correct Answer: B
Rationale: Moistening the sponge ensures proper activation of the spermicide.
What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted?
- A. Palpate her lower abdomen each month to check the patency of the device.
- B. Remain on bed rest for 24 hours after insertion of the device.
- C. Report any complaints of painful intercourse to the physician.
- D. Insert spermicidal jelly within 4 hours of every sexual encounter.
Correct Answer: C
Rationale: Painful intercourse may indicate IUD displacement or complications.
With regard to the care management of preterm labor should the nurse should be aware of?
- A. The diagnosis of preterm labor is based on gestational age, uterine activity and progressive cervical change
Correct Answer: A
Rationale: Preterm labor is diagnosed based on a combination of factors including gestational age (typically less than 37 weeks), uterine activity (regular, painful contractions), and progressive changes in the cervix (dilation, effacement, or both). It is important for the nurse to be aware of these criteria to promptly recognize and manage preterm labor to reduce the risk of complications for both the mother and the baby. Early detection and timely intervention can help improve outcomes for preterm infants.
A newborn has a respiratory rate of 80 breaths/min, nasal flaring with sternal retractions, a heart rate of 120 beats/min, temperature of 36C and a persisting oxygen saturation of <87%. The nurse interprets these findings as:
- A. Cardiac distress
- B. Respiratory Alkalosis
- C. Bronchial pneumonia
- D. Respiratory Distress
Correct Answer: D
Rationale: These signs indicate respiratory distress.
What advice should the nurse give a woman taking Fosamax (alendronate) for osteoporosis?
- A. Remain upright for 30 minutes after taking the medication.
- B. Take only after eating a full meal.
- C. Take medication in divided doses 3 times each day.
- D. Do not break or crush the tablet.
Correct Answer: A
Rationale: Remaining upright prevents esophageal irritation.