Nokea
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.
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What does the nurse recognize as the possible cause of these signs and symptoms?
- A. Dehydration
- B. Hypovolemic shock
- C. Endometritis
- D. Cystitis
Correct Answer: C
Rationale: Fever after 24 hours following delivery is suggestive of an infection. Severe cramping and fever are manifestations of endometritis.
What will the nurse plan to teach the woman to report to help prevent postpartum complications?
- A. Fever
- B. Change in lochia from red to white
- C. Contractions
- D. Fatigue and irritability
Correct Answer: A
Rationale: Increased temperature is a sign of infection. The other choices are normal in the postpartum period.
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.
What is the most likely cause?
- A. Pulmonary embolism
- B. Hypertension
- C. Allergy
- D. Blood clotting disorder
Correct Answer: C
Rationale: Anaphylactic shock is caused by allergic responses to drugs administered.
What is the first sign of hypovolemic shock from postpartum hemorrhage?
- A. Cold, clammy skin
- B. Tachycardia
- C. Hypotension
- D. Decreased urinary output
Correct Answer: B
Rationale: Tachycardia is usually the first sign of inadequate blood volume.