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A nurse is caring for a postpartum client.

Exhibits
Which of the following statements by the client indicates an understanding of the discharge teaching?

Click to highlight the client statements that indicate an understanding of the discharge teaching.

"Because of my baby's weight loss, I need to supplement with formula after breastfeeding."

"I should make sure that my baby feeds 8 to 12 times per day."

"I should cover my sore nipples with plastic-lined breast pads after every feeding."

"My baby's stools should turn to a yellow color within the next day or two.

I can increase my milk supply by drinking more water.

I should expect my breasts to become harder, warmer, and more tender when my milk comes in."

Because of my baby's weight loss, I need to supplement with formula after breastfeeding

I should make sure that my baby feeds 8 to 12 times per day.

I should cover my sore nipples with plastic-lined breast pads after every feeding

My baby's stools should turn to a yellow color within the next day or two

I can increase my milk supply by drinking more water.

I should expect my breasts to become harder, warmer, and more tender when my milk comes in.

Answer and Explanation

The Correct Answer is ["B","D","F"]

Correct Choices for Indicating Understanding:

"I should make sure that my baby feeds 8 to 12 times per day."
"My baby's stools should turn to a yellow color within the next day or two."
"I should expect my breasts to become harder, warmer, and more tender when my milk comes in."

Rationale

"Because of my baby's weight loss, I need to supplement with formula after breastfeeding."
- This statement does not necessarily indicate an understanding of discharge teaching, as supplementation should only be done based on medical advice and not solely based on perceived weight loss.
"I should make sure that my baby feeds 8 to 12 times per day."
- This statement indicates an understanding of discharge teaching, as frequent feeding is important for newborns to ensure adequate nutrition and hydration, and to promote milk production in breastfeeding mothers.
"I should cover my sore nipples with plastic-lined breast pads after every feeding."
- This statement does not indicate proper understanding, as plastic-lined breast pads can retain moisture and increase the risk of infection. Instead, breathable pads or natural remedies are often recommended.
"My baby's stools should turn to a yellow color within the next day or two."
- This statement indicates an understanding of normal neonatal stool changes, as breastfed babies' stools typically transition to a yellow color within a few days of birth.
"I can increase my milk supply by drinking more water."
- While staying hydrated is important, this statement alone is insufficient for indicating a comprehensive understanding of increasing milk supply. Effective breastfeeding practices and frequent nursing are more directly impactful.
"I should expect my breasts to become harder, warmer, and more tender when my milk comes in."
- This statement indicates an understanding of the common experience of breast engorgement when milk comes in, which is a normal part of the breastfeeding process.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","F"]

Explanation

A, B Monitoring the newborn's hemoglobin and hematocrit levels are important due to the risk of anemia.

C. Monitoring the newborn's heart rate post-birth is crucial for assessing cardiac function and detecting any abnormalities.

F. Positive pressure ventilation was administered to the newborn for 1 minute after birth, indicating a need for respiratory support. The nurse should closely assess the newborn's respiratory status.

D. There may be concerns about the newborn's blood glucose levels, especially if there were any periods of hypoxia or stress during labor and delivery.

A. "If you want me to, I can tell your parents for you." B. "You seem scared to talk to your parents." C. "Your parents will have to be told why you are being admitted." D. "Give your parents a chance; they'll understand."

Correct Answer is B

Explanation

A. This response does not respect the client's autonomy and right to confidentiality.

B. This response acknowledges the client's feelings and opens up the opportunity for further discussion.
C. While it's important for parents to be informed about their child's health condition, especially if the adolescent is a minor, this response may escalate the client's anxiety and fear about disclosing their infection to their parents.
D. This response minimizes the client's concerns and may not accurately reflect the complexity of their situation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","F"]

Explanation

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest?

A nurse is admitting an 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow. This finding indicates the newborn is experiencing a complication related to which of the following?

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?