What will the nurse teach a nursing mother to do to reduce the risk of mastitis?
- A. Limit fluid intake to 1 liter per day.
- B. Empty both breasts with each feeding.
- C. Take warm showers.
- D. Wear a supportive bra.
- E. Pump breasts to ensure emptying.
Correct Answer: B,C,D,E
Rationale: Nursing mothers should take in about 3 liters of fluid a day. Emptying both breasts, taking warm showers, wearing a supportive bra, and pumping breasts reduce the risk of mastitis.
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What will the nurse anticipate might be ordered by the physician?
- A. Ritodrine
- B. Magnesium sulfate
- C. Oxytocin
- D. Bromocriptine
Correct Answer: C
Rationale: Oxytocin (Pitocin) is the most common drug ordered to control uterine atony.
When weaning a newborn from breastfeeding, what should the mother do?
- A. Eliminate one feeding at a time.
- B. Eliminate the favorite feeding last.
- C. Expect the need for comfort feeding.
- D. Substitute formula for younger infants.
- E. Pump breasts in place of eliminated feeding.
Correct Answer: B,C,D
Rationale: When weaning a newborn from breastfeeding, the mother should eliminate the favorite feeding last, one feeding at a time, and expect the need for comfort feeding. In younger infants, formula will need to be substituted. Pumping in place of eliminated feeding would continue milk production.
What action should the nurse implement based on these symptoms?
- A. Notify the charge nurse of a possible upper respiratory infection.
- B. Notify the physician of a possible pulmonary embolism.
- C. Document expected postpartum mucous membrane congestion.
- D. Medicate with antipyretic remedy for elevated temperature.
Correct Answer: B
Rationale: Symptoms of early pulmonary embolism may include cough, shortness of breath, and temperature elevation, requiring immediate notification of the physician.
What should the nurse's first action be when postpartum hemorrhage from uterine atony is suspected?
- A. Teach the patient how to massage the abdomen and then get help.
- B. Start IV fluids to prevent hypovolemia and then notify the registered nurse.
- C. Begin massaging the fundus while another person notifies the physician.
- D. Ask the patient to void and reassess fundal tone and location.
Correct Answer: C
Rationale: When the uterus is boggy, the nurse should immediately massage it until it becomes firm.
What will the nurse instruct this woman is the antidote for warfarin overdose?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin E
- D. Vitamin K
Correct Answer: D
Rationale: The antidote for warfarin overdose is vitamin K.
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