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What is Lamaze International Childbirth Education based on?
- A. breathing techniques
- B. comprehensive evidence-based childbirth teachings
- C. empowerment of the nursing staff
- D. positions to promote breast-feeding
Correct Answer: B
Rationale: Lamaze focuses on evidence-based practices to empower birthing individuals, not just breathing techniques or nursing staff.
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A new mother states that her infant must be cold because the baby's head and feet are blue? The nurse should explain that this is a common and temporary condition called:
- A. Acrocyanosis
- B. Vernix caseosa
- C. Erythema neonatorum
- D. Harlequin color
Correct Answer: A
Rationale: Acrocyanosis is a common and benign condition in newborn infants characterized by temporary blueness or cyanosis of the hands, feet, and sometimes the face. This blueness is caused by the temporary constriction of blood vessels in those areas, resulting in reduced blood flow and less oxygen reaching the skin. Acrocyanosis typically resolves on its own and does not indicate any serious health concerns in newborns. It is important for healthcare providers to reassure parents that acrocyanosis is a normal phenomenon in newborns and does not require treatment.
A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?
- A. Place a snug dressing on the client's nipple when not breastfeeding.
- B. Ensure the newborn's mouth is wide open before latching to the breast.
- C. Encourage the client to limit the newborn's feeding to 10 min on each breast.
- D. Instruct the client to begin the feeding with the nipple that is most tender.
Correct Answer: B
Rationale: Ensuring the newborn's mouth is wide open before latching to the breast is the correct action to take when caring for a client experiencing sore nipples from breastfeeding. When the newborn latches onto the breast correctly with a wide open mouth, it helps to prevent nipple soreness and discomfort by allowing proper positioning and attachment, which reduces pressure on the nipple. This action can promote effective and comfortable breastfeeding for both the client and the newborn. Placing a snug dressing on the nipple when not breastfeeding (Choice A) could hinder air circulation, leading to moisture, which may increase the risk of nipple soreness. Limiting the newborn's feeding to 10 minutes on each breast (Choice C) can be insufficient for adequate milk intake and can lead to feeding issues. Instructing the client to begin the feeding with the nipple that is most tender (Choice D) may exacerbate the issue and cause further discomfort.
A client at 32 weeks' gestation is diagnosed with oligohydramnios. What complication is associated with this condition?
- A. Fetal macrosomia.
- B. Cord prolapse.
- C. Pulmonary hypoplasia.
- D. Placenta previa.
Correct Answer: C
Rationale: Oligohydramnios can lead to pulmonary hypoplasia due to insufficient amniotic fluid for lung development.
A client in labor with a breech presentation is scheduled for a cesarean delivery. What is the nurse's priority action?
- A. Obtain baseline maternal vital signs.
- B. Assist with positioning for spinal anesthesia.
- C. Verify fetal heart tones before the procedure.
- D. Ensure signed informed consent is on file.
Correct Answer: D
Rationale: Ensuring signed informed consent is a priority before any surgical procedure, including cesarean delivery.
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?
- A. "You can bathe and dress your baby if you'd like to."
- B. "If you don't hold the baby, it will make letting go much harder."
- C. "You should name the baby so she can have an identity."
- D. "I'm sure you will be able to have another baby when you're ready."
Correct Answer: A
Rationale: In this situation, it is important for the nurse to provide the client with options for how they would like to proceed. By offering the option to bathe and dress the baby, the nurse is allowing the client to make decisions about their care and how they would like to cope with the loss. This empowers the client and respects their individual grieving process. It is crucial to encourage the client to make choices that align with their feelings and provide them with support and sensitivity during this difficult time.