Nokea
Which behavior does the nurse identify as a demonstration of unidirectional bonding between a parent and infant?
- A. The parents respond to the baby's cry.
- B. The parents call the baby by name.
- C. The baby responds to comforting measures.
- D. The parents stimulate and entertain the baby.
Correct Answer: B
Rationale: The correct answer is B because calling the baby by name demonstrates a unidirectional bond where the parent is actively engaging with the infant without requiring a response. In this scenario, the parent is initiating communication and bonding with the baby. The other choices involve reciprocal interactions between the parent and infant, which do not solely demonstrate a unidirectional bond. Choice A involves the parent responding to the baby's cry, which is a reaction to the infant's behavior. Choice C involves the baby responding to comforting measures initiated by the parent. Choice D involves the parents stimulating and entertaining the baby, which implies a back-and-forth interaction rather than a unidirectional bond.
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The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments isn't covered by REEDA?
- A. Perineal coloration
- B. Suture line appearance
- C. Amount of swelling
- D. Description of pain
Correct Answer: D
Rationale: The correct answer is D, Description of pain. The REEDA acronym stands for Redness, Edema, Ecchymosis, Discharge, and Approximation, focusing on physical characteristics. Pain assessment is important but not part of the REEDA visual assessment. Perineal coloration (A), suture line appearance (B), and amount of swelling (C) are all physical aspects covered by REEDA.
A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence?
- A. An increase in oxytocin release related to the newborn suckling
- B. The presence of intense afterbirth pains related to multiparity
- C. An expected response to the daily administration of oxytocin
- D. The efforts of the uterus to return to a prepregnancy condition
Correct Answer: A
Rationale: The correct answer is A: An increase in oxytocin release related to the newborn suckling. After delivery, breastfeeding stimulates the release of oxytocin, causing uterine contractions. This helps the uterus to contract, reduce bleeding, and return to its normal size. This process can result in uterine cramps, especially in multiparous women.
B: The presence of intense afterbirth pains related to multiparity - Afterbirth pains are common in multiparous women, but they are different from uterine cramps due to breastfeeding.
C: An expected response to the daily administration of oxytocin - The patient is breastfeeding, not receiving daily oxytocin administration.
D: The efforts of the uterus to return to a prepregnancy condition - While this is true, the primary reason for the uterine cramps in this scenario is the increased oxytocin release from breastfeeding.
The nurse in a postpartum unit frequently teaches patients regarding breast care. Which teaching is most helpful to the breastfeeding patient?
- A. Run warm water over breasts while in the shower.
- B. Wear a supportive bra for 24 hours a day.
- C. Express milk by a breast pump or manually.
- D. Take analgesics for breast pain management.
Correct Answer: C
Rationale: The correct answer is C, expressing milk by a breast pump or manually. This is the most helpful teaching for a breastfeeding patient as it helps maintain milk supply, prevent engorgement, and relieve discomfort. Expressing milk also allows for flexibility in feeding schedules and helps store milk for later use.
A: Running warm water over breasts in the shower may provide temporary relief but does not address milk expression.
B: Wearing a supportive bra is important, but it is not necessary to wear it 24 hours a day.
D: Taking analgesics for breast pain management should not be the first line of treatment and does not address the root cause of the issue.
The nurse in a postpartum unit frequently teaches patients regarding breast care. Which teaching is most helpful to the breastfeeding patient?
- A. Run warm water over breasts while in the shower.
- B. Wear a supportive bra for 24 hours a day.
- C. Express milk by a breast pump or manually.
- D. Take analgesics for breast pain management.
Correct Answer: C
Rationale: The correct answer is C because expressing milk by a breast pump or manually helps in relieving engorgement, preventing mastitis, and maintaining milk supply. This action also allows for proper milk removal and promotes breastfeeding success.
A: Running warm water over breasts can provide temporary relief but does not address the underlying issue of engorgement or milk expression.
B: Wearing a supportive bra is important, but doing so 24 hours a day can lead to discomfort and potential issues with milk supply and breast health.
D: Taking analgesics may provide pain relief but does not address the root cause of the issue and may mask potential problems.
A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence?
- A. An increase in oxytocin release related to the newborn suckling
- B. The presence of intense afterbirth pains related to multiparity
- C. An expected response to the daily administration of oxytocin
- D. The efforts of the uterus to return to a prepregnancy condition
Correct Answer: A
Rationale: Rationale for correct answer A:
1. Breastfeeding stimulates the release of oxytocin.
2. Oxytocin causes uterine contractions.
3. Uterine contractions help the uterus return to its pre-pregnancy size.
4. Severe uterine cramps post-delivery are likely due to increased oxytocin release from breastfeeding.
Summary of why other choices are incorrect:
B: Afterbirth pains are typically crampy, but the scenario specifies severe pain on the first day after delivery, which is more likely due to breastfeeding.
C: Daily administration of oxytocin would not lead to sudden severe cramps on the first day post-delivery.
D: Uterus shrinking back to prepregnancy size causes cramping, but the timing and severity described in the scenario point more towards oxytocin release from breastfeeding.