A breastfeeding mother expresses concern about whether her one-week-old newborn is getting enough milk. Which finding is a concrete indicator that the baby is getting enough milk?

The newborn stops exhibiting hunger cues.

The newborn suckles and appears to swallow while breastfeeding.

The newborn has six to eight wet diapers and several stools per day.

The newborn appears satiated and falls asleep while breastfeeding.

Answer and Explanation

The Correct Answer is C

A. Hunger cues may decrease, but this is not a reliable sign of adequate milk intake.

B. Suckling and swallowing indicate milk transfer, but this alone does not confirm adequate intake.

C. Correct. A well-hydrated newborn should produce 6–8 wet diapers and several stools per day, indicating sufficient milk intake.

D. While newborns often fall asleep after feeding, this does not necessarily mean they have had an adequate intake.

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Correct Answer is B

Explanation

A. Respiratory rate of 16 breaths/min: Normal range, no intervention needed.

B. Pulse of 120 beats per minute: Correct. Tachycardia in the postpartum period can indicate hemorrhage or hypovolemia, requiring immediate assessment and intervention.

C. Temperature of 98.8°F (37.7°C): Normal postpartum temperature.

D. Blood pressure of 120/88 mmHg: Normal postpartum blood pressure.

A. Remove the client's bra B. Alternate with warm compresses and ice packs to the breasts C. Administer acetaminophen as prescribed D. Limit breastfeeding to twice a day

Correct Answer is B

Explanation

A. Remove the client's bra: Incorrect. A well-fitted supportive bra helps reduce discomfort and swelling. Removing the bra may increase pain and worsen engorgement.

B. Alternate with warm compresses and ice packs to the breasts: Correct. Warm compresses before breastfeeding help with milk flow, and cold compresses after feeding reduce swelling and discomfort.

C. Administer acetaminophen as prescribed: Incorrect. While pain relief can help, it does not directly address the engorgement.

D. Limit breastfeeding to twice a day: Incorrect. Frequent breastfeeding or pumping is encouraged to relieve engorgement.

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A breastfeeding mother expresses concern about whether her one-week-old newborn is getting enough milk. Which finding is a concrete indicator that the baby is getting enough milk?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a postpartum patient who had an uncomplicated vaginal delivery one hour ago. Which assessment finding requires immediate intervention?

Correct Answer is B

Explanation

On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

Correct Answer is B

Explanation

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