A client who is 36 weeks with a breech presentation and diagnosed with a placenta previa asks the nurse if she can have an external version and deliver vaginally. The best answer by the nurse would be which of the following?

"You are a great candidate for external version. We will schedule it for this week."

"You will have to be in active labor before we do an external version."

"You are not a candidate for external version because you have a placenta previa."

"You are not a candidate for external version because your baby is in a brooch presentation."

Answer and Explanation

The Correct Answer is C

A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.

B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.

C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.

D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.

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Correct Answer is B

Explanation

A. 2300 calories is insufficient for breastfeeding. An additional 500 calories is needed for milk production.

B. The recommended caloric intake for breastfeeding women is typically an additional 500 calories per day above their pre-pregnancy caloric intake. So, for this woman, it would be 2500 calories (2000 + 500).

C. 2750 calories is more than the typical recommendation.

D. 3000 calories is higher than the typical recommendation for most breastfeeding women.

A. The newborn sleeps for 6 consecutive hours during the night. B. The newborn breastfeeds every 4 to 5 hours for 5 minutes on each breast. C. The newborn has at least six to eight wet diapers per day. D. The newborn gains 1 to 2 ounces the first week.

Correct Answer is C

Explanation

A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.

B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.

C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.

D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.

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A client who is 36 weeks with a breech presentation and diagnosed with a placenta previa asks the nurse if she can have an external version and deliver vaginally. The best answer by the nurse would be which of the following?

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Naxlex Comprehensive Predictor Exams

A woman had a recommended caloric intake of 2000 calories per day before becoming pregnant. She delivers and is breastfeeding. How many calories per day is recommended for her now?

Correct Answer is B

Explanation

A postpartum woman telephones about her 6 day old infant. She is not scheduled for a weight check until the infant is 10 days old and she is worried about whether the baby is getting enough mi Which of the following statements demonstrate effective breastfeeding for her newborn?

Correct Answer is C

Explanation

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