Nokea
Which of the following statements is true about breastfeeding mothers as compared to bottle-feeding mothers?
- A. Breastfeeding mothers usually involute completely by 3 weeks postpartum.
- B. Breastfeeding mothers have decreased incidence of diabetes mellitus later in life.
- C. Breastfeeding mothers show higher levels of bone density after menopause.
- D. Breastfeeding mothers are prone to fewer bouts of infection immediately postpartum.
Correct Answer: B
Rationale: Breastfeeding has long-term health benefits, including a decreased risk of developing type 2 diabetes later in life.
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A breastfeeding woman develops mastitis. She tells the nurse that she will feed her baby formula instead of breastfeeding until the infection is healed. The best nursing response is that:
- A. Emptying the breast is important to prevent an abscess.
- B. A tight breast binder or bra will help reduce engorgement.
- C. She should continue to drink extra fluids while weaning.
- D. Breastfeeding can continue when her temperature is normal.
Correct Answer: A
Rationale: Breastfeeding or regular pumping helps to keep the breast emptied reducing the risk of abscess formation.
What is a risk factor for PPH found in the prenatal record?
- A. primipara
- B. rubella nonimmune
- C. von Willebrand disorder
- D. history of appendectomy
Correct Answer: C
Rationale: Von Willebrand disorder is a bleeding disorder that increases the risk of postpartum hemorrhage due to impaired clotting.
A Muslim woman requests something to eat after the delivery of her baby. Which of the following meals would be most appropriate for the nurse to give her?
- A. Ham sandwich.
- B. Bacon and eggs.
- C. Spaghetti with sausage.
- D. Chicken and dumplings.
Correct Answer: D
Rationale: In Islam, pork is prohibited. Chicken is a halal option that adheres to dietary restrictions.
The nurse educates the postpartum person on bowel discomfort. What instructions would they give?
- A. Limit water intake.
- B. Use laxatives daily.
- C. Ambulate often.
- D. Avoid stool softeners.
Correct Answer: C
Rationale: Ambulating helps improve bowel motility and prevent constipation which can lead to bowel discomfort after childbirth.
Lacerations of the cervix, vagina, or perineum are also causes of PPH. Which factors influence the causes and incidence of obstetric lacerations of the lower genital tract? (Select all that apply.)
- A. Operative and precipitate births
- B. Adherent retained placenta
- C. Abnormal presentation of the fetus
- D. Congenital abnormalities of the maternal soft tissue
Correct Answer: A
Rationale: The correct answer is A because operative and precipitate births increase the risk of obstetric lacerations due to the rapid delivery or use of instruments. Operative births involve interventions like forceps or vacuum extraction, which can cause trauma. Precipitate births, characterized by rapid labor and delivery, may lead to tearing of the lower genital tract. Choices B, C, and D are incorrect as they do not directly influence the causes and incidence of obstetric lacerations. Adherent retained placenta, abnormal fetal presentation, and congenital abnormalities of maternal soft tissue are not primary factors contributing to lacerations during childbirth.