Nokea
To reduce the risk of hypoglycemia in a full-term newborn weighing 2,900 grams, what should the nurse do?
- A. Maintain the infant's temperature above 97.7°F.
- B. Feed the infant glucose water every 3 hours until breastfeeding well.
- C. Assess blood glucose levels every 3 hours for the first twelve hours.
- D. Encourage the mother to breastfeed every 4 hours.
Correct Answer: A
Rationale: Maintaining body temperature helps prevent hypoglycemia by reducing metabolic demands.
You may also like to solve these questions
A woman with postpartum depression has been prescribed Zoloft (sertraline) 50 mg daily. Which of the following should the client be taught about the medication?
- A. Chamomile tea can potentiate the affect of the drug.
- B. Therapeutic effect may be delayed a week or more.
- C. The medication should only be taken whole.
- D. A weight gain of up to ten pounds is commonly seen.
Correct Answer: B
Rationale: Antidepressants require time to take effect.
A woman states that she is going to bottle feed her baby because, 'I hate milk and I know that to make good breast milk I will have to drink milk.' The nurse's response about producing high-quality breast milk should be based on which of the following?
- A. The mother must drink at least 3 glasses of milk per day to absorb sufficient quantities of calcium.
- B. The mother should consume at least 1 glass of milk per day but should also consume other dairy products like cheese.
- C. The mother can consume a variety of good calcium sources like broccoli and fish with bones as well as dairy products.
- D. The mother must monitor her protein intake more than her calcium intake because the baby needs the protein for growth.
Correct Answer: C
Rationale: Diverse dietary sources provide adequate nutrition.
The nurse is caring for a client, G3 P2002, whose infant has been diagnosed with a treatable birth defect. Which of the following is an appropriate statement for the nurse to make?
- A. Thank goodness. It could have been untreatable.
- B. I'm so happy that you have other children who are healthy.
- C. These things happen. They are the will of God.
- D. It is appropriate for you to cry at a time like this.
Correct Answer: D
Rationale: Validation of emotions is supportive.
The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?
- A. “I may not have a bowel movement until the 2nd postpartum day.”
- B. “If I breastfeed and supplemUenSt wiNth fTormula,O I won’t need any birth control.”
- C. “I know my normal pattern of bowel elimination won’t return until about 8 to 10 days.”
- D. “If I am not breastfeeding, I should use birth control when I resume sexual
Correct Answer: B
Rationale: The correct answer is B because the patient's statement about not needing birth control if breastfeeding and supplementing with formula is incorrect. Breastfeeding is not a reliable form of birth control and additional contraception is necessary to prevent unintended pregnancy.
Explanation:
1. Breastfeeding alone is not a foolproof method of contraception.
2. The combination of breastfeeding and formula feeding does not guarantee contraception.
3. Lactational amenorrhea method (LAM) is only effective if specific criteria are met.
4. The patient's misconception about not needing birth control while breastfeeding and supplementing with formula puts her at risk of unintended pregnancy.
Summary:
A: Correct statement about the timing of bowel movements postpartum.
C: Incorrect statement about the normal pattern of bowel elimination postpartum.
D: Correct statement about the need for birth control if not breastfeeding.
The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The nurse notes a firm uterus at the umbilicus with heavy lochial flow. Which of the following nursing actions is appropriate?
- A. Massage the uterus.
- B. Notify the obstetrician.
- C. Administer an oxytocic as ordered.
- D. Assist the client to the bathroom.
Correct Answer: C
Rationale: Oxytocics help control uterine atony and bleeding.