A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.
"I understand your concern, but your baby will be okay."
"Milk normally comes in around the third day.
"You can bottle feed until your milk comes in."
"Your baby seems content, so you should not worry about him getting enough to eat."
The Correct Answer is B
A. "I understand your concern, but your baby will be okay." This response does not provide education or reassurance.
B. "Milk normally comes in around the third day." Correct. This provides factual information to reassure the mother.
C. "You can bottle feed until your milk comes in." Incorrect. Supplementing may reduce breastfeeding success.
D. "Your baby seems content, so you should not worry about him getting enough to eat." This dismisses the mother's concern without providing information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Engrossment refers to the father's intense interest in the newborn, including focused attention, touching, and bonding behaviors such as counting the baby's fingers and toes.
B. Pacing during delivery may indicate anxiety but does not reflect engrossment.
C. Expressing feeling overwhelmed and avoiding holding the baby suggests difficulty adjusting rather than engrossment.
D. Being present during delivery is supportive but does not specifically indicate engrossment.
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Massage the fundus: The client has heavy lochia rubra with clots, which indicates possible postpartum hemorrhage (PPH). A firm fundus does not rule out excessive bleeding, so fundal massage and further assessment are critical.
PPH is a life-threatening condition and must be addressed immediately.
Incorrect Answers & Rationale:
Encourage the client to ambulate: While ambulation is important postpartum, it is not the priority in the presence of heavy bleeding.
The client should remain in bed until bleeding is controlled.
Offer the client fluids: Fluids are beneficial but do not address the immediate concern of heavy bleeding. PPH requires active intervention, not just hydration.
Administer pain medication for postpartum discomfort: Pain relief is important, but postpartum hemorrhage is the priority. Uncontrolled bleeding is life-threatening and must be managed first.
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