Nokea
What is the first secretion produced by the breast?
- A. Prolactin
- B. Colostrum
- C. False milk
- D. Whey
Correct Answer: B
Rationale: The first secretion to be produced by the breast is colostrum.
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The new mother has decided not to breastfeed the baby. How should the nurse correctly instruct the mother to suppress her milk supply?
- A. Pump the breasts to remove milk
- B. Apply warm moist compresses
- C. Restrict oral fluids
- D. Apply a firm bra and ice packs
Correct Answer: D
Rationale: If a patient is not breastfeeding, compress the breasts with a firm bra and wrapped ice packs to suppress the milk supply. Pumping the breasts and applying warm, moist compresses are instructions for the breast-feeding mother to deal with the painful symptoms of engorgement.
What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?
- A. Lanugo
- B. Meconium
- C. Desquamation
- D. Vernix caseosa
Correct Answer: D
Rationale: At birth, the skin is covered with a yellowish-white cream cheese-like substance called vernix caseosa.
When is breast engorgement most likely to occur?
- A. When the infant's mouth surrounds the areola when feeding
- B. When the breast tissue becomes congested
- C. When the breast is emptied completely at each feeding
- D. When the infant's mouth grasps the nipple firmly
Correct Answer: B
Rationale: Engorgement is the result of venous and lymphatic stasis (congestion). Emptying the breast at each feeding, the infant grasping the nipple firmly, and the infant's mouth surrounding the areola when feeding are all measures that will aid in decreasing engorgement.
When assessing a mother 12 hours following the delivery of a baby where should the nurse expect to palpate the fundus?
- A. 2 cm below the umbilicus
- B. At the umbilicus
- C. 1 cm below the umbilicus
- D. Halfway between the umbilicus and the symphysis pubis
Correct Answer: B
Rationale: Within 12 hours, the fundus rises to the level of the umbilicus. The fundus should be firm. Immediately following delivery, the fundus will be felt halfway between the umbilicus and the symphysis.
Where would acrocyanosis be assessed on a newborn?
- A. Circumoral area
- B. Brow
- C. Feet
- D. Mucous membrane
Correct Answer: C
Rationale: Acrocyanosis is the slightly blue appearance of the hands and feet that is caused by poor circulation. It can last for 7 to 10 days in the newborn.