Nokea
Which of the following client statements indicates effective teaching about burping a breastfed neonate?
- A. Breast-fed babies who are burped frequently will take more on each breast.
- B. If I supplement the baby with formula, I will rarely have to burp him.
- C. I'll breast-feed my baby every 3 hours so I won't have to burp him.
- D. When I switch to the other breast, I'll burp the baby.
Correct Answer: D
Rationale: Burping when switching breasts helps release air and promotes effective feeding.
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The nurse enlists the aid of an interpreter when caring for a primiparous client from Mexico who speaks very little English and delivered a viable term neonate 8 hours ago. When developing the postpartum dietary plan of care for the client, the nurse would encourage the client's intake of which of the following?
- A. High-fiber foods and adequate fluids.
- B. Low-calorie foods to promote weight loss.
- C. High-protein foods only.
- D. Caffeinated beverages to maintain energy.
Correct Answer: A
Rationale: High-fiber foods and adequate fluids promote bowel function and hydration, which are essential for postpartum recovery.
The health care provider has determined that a preterm labor client at 34 weeks' gestation has no fetal fibronectin present. The nurse should assess the client for which of the following outcomes in the next week?
- A. The client will develop preeclampsia.
- B. The fetus will develop mature lungs.
- C. The client will not likely develop preterm labor.
- D. The fetus will not develop gestational diabetes.
Correct Answer: C
Rationale: Absence of fetal fibronectin indicates reduced likelihood of preterm labor.
At 32 weeks' gestation, a 15-year-old primigravid client who is 5 feet, 2 inches tall has gained a total of 20 lb, with a 1-lb gain in the last 2 weeks. Urinalysis reveals negative glucose and a trace of protein. The nurse should advise the client that which of the following factors increases her risk for preeclampsia?
- A. Total weight gain.
- B. Short stature.
- C. Adolescent age group.
- D. Proteinuria.
Correct Answer: C
Rationale: Adolescents are at higher risk for preeclampsia due to incomplete physical maturity.
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses?
- A. I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy.
- B. My boyfriend can buy Plan B from the pharmacy if he is over 18 years old.
- C. The birth control works by preventing ovulation or fertilization of the egg.
- D. I can be discussed and have breast tenderness or a headache after using the contraceptive.
Correct Answer: A
Rationale: Plan B is most effective when taken within 72 hours of unprotected intercourse, ideally as soon as possible. Waiting 3 to 4 days reduces its efficacy, indicating a need for further explanation.
A nurse is teaching a client about the withdrawal method of contraception. Which of the following statements by the nurse is accurate?
- A. The withdrawal method is highly effective when performed correctly.
- B. The withdrawal method does not protect against STIs and has a high failure rate.
- C. The withdrawal method requires medical supervision for effectiveness.
- D. The withdrawal method is more effective than condoms.
Correct Answer: B
Rationale: The withdrawal method does not protect against STIs and has a high failure rate due to pre-ejaculate containing sperm and reliance on timing. It does not require medical supervision and is less effective than condoms.