A client who is 6-weeks postpartum reports to the home health nurse that her milk is "drying up." The nurse notes that the 16-month-old sibling is constantly competing for the mother's attention. To assist this mother with breastfeeding while caring for a toddler, which suggestion is best for the nurse to provide?
Have the 16-month-old child play in another room during breastfeeding.
Read a book to the 16-month-old child while the client is breastfeeding the infant.
Give the toddler crayons and paper while the client is breastfeeding the infant.
Encourage the toddler to watch TV while the client is breastfeeding the baby.
The Correct Answer is B
Choice A reason: Separating the toddler may lead to increased anxiety or behavioral issues. It does not foster inclusion or bonding and may make the mother feel more stressed.
Choice B reason: Reading a book engages the toddler in a calm, interactive activity that promotes bonding and reduces competition for attention. It allows the mother to maintain closeness with both children and supports a nurturing environment.
Choice C reason: Crayons and paper are useful but may not hold the toddler’s attention for long. The activity is solitary and may not provide the emotional connection the toddler seeks during breastfeeding.
Choice D reason: Television is a passive activity and may not be developmentally appropriate for prolonged use. It does not encourage interaction or emotional support, which are important during sibling transitions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A place of worship may be familiar to some children, but it is not universally accessible or comfortable for all. Participation may be limited by religious affiliation or parental preferences.
Choice B reason: A community center offers a neutral and inclusive environment, but it may not be as familiar or structured for learning as a school setting. Attendance may also be inconsistent.
Choice C reason: The school classroom is the most appropriate and effective setting for health education for 10-year-olds. It is a structured environment where children are accustomed to learning, and participation is likely to be higher due to routine attendance and teacher support.
Choice D reason: A child’s home may be informal and comfortable, but it lacks the structure and neutrality needed for group education. It may also raise concerns about privacy, supervision, and accessibility.
Correct Answer is D
Explanation
Choice A reason: Social support is important, but it does not determine the client’s ability to live independently. It complements functional ability but is not the primary determinant for relocation decisions.
Choice B reason: Mobility aids may enhance independence but are not the central issue in deciding whether the client can remain at home. The need for such aids is part of a broader functional assessment.
Choice C reason: Dietary restrictions are relevant to health management but do not influence the decision about living arrangements unless they severely impair the client’s ability to prepare meals or eat safely.
Choice D reason: Functional ability encompasses the client’s capacity to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs). This assessment determines whether the client can safely remain at home or requires assisted living.
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