A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching?

"I won't wear a bra during the daytime.".

"I'll apply cold compresses 20 min before each feeding.".

"I'll feed my baby every 2 hours.".

"I will stop breastfeeding until I am done with the antibiotics.".

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Wearing a supportive bra can actually help to manage engorgement, so it's not recommended to avoid wearing one during the day.

Choice B rationale:

Cold compresses are typically applied after feeding to reduce swelling, not before. Applying them before might hinder the milk let-down reflex.

Choice C rationale:

Frequent feeding can help to alleviate engorgement by ensuring that the breasts are being emptied regularly.

Choice D rationale:

Stopping breastfeeding until finishing antibiotics is not advisable, as it can lead to decreased milk supply and potential issues with engorgement. Antibiotics prescribed by a healthcare provider are usually safe to take while breastfeeding, and interrupting breastfeeding can exacerbate the engorgement problem. This choice is not appropriate for managing breast engorgement and is therefore incorrect.

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Correct Answer is D

Explanation

A. This is not a primary consideration before bathing a newborn. The timing of the last feeding is more relevant to assessing the risk of hypoglycemia rather than determining readiness for a bath.

B. This temperature is slightly below the recommended range for newborns (36.5°C to 37.5°C). Bathing should be delayed until the newborn's temperature is stable.

C. While care of the umbilical cord is important, it does not determine the timing of the first bath. The cord can be kept dry even if the baby is bathed.

D. Ensuring that the newborn has maintained a stable body temperature for at least 2 hours is crucial before giving the first bath. Bathing can cause a drop in body temperature, so it's essential that the newborn's thermoregulation is stable to avoid hypothermia.

A. This indicates a severe infection. B. This is a normal WBC for a newborn. C. This is a lab error. D. You must call the doctor.

Correct Answer is B

Explanation

Choice A rationale:

A white blood cell count of 15,000 does not necessarily indicate a severe infection. In newborns, WBC counts are typically higher than in adults, and they gradually decrease over the first few days after birth. A value of 15,000 falls within the normal range for a newborn and is not indicative of a severe infection.

Choice B rationale:

A white blood cell count of 15,000 is considered a normal range for a newborn. Newborns have higher WBC counts as a natural response to the stress of birth and exposure to the outside environment. The immune system is still developing, and elevated WBC counts are normal during this period.

Choice C rationale:

Assuming there are no other indications of lab error, such as abnormal results in other tests, it would be premature to label the WBC count as a lab error. Additionally, healthcare professionals should always consider the overall clinical picture before assuming a lab error based on a single result.

Choice D rationale:

There is no immediate need to call the doctor based solely on the WBC count of 15,000. Medical decisions should be made in the context of the newborn's overall clinical condition, and a single lab result does not warrant an immediate call to the doctor.

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A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse admits a newborn to the admission nursery and prepares to bathe the baby for the first time after assessing which of the following?

Correct Answer is D

Explanation

The nurse notes that a newborn's white blood cell count (WBC) is 15,000. The nurse is aware that:.

Correct Answer is B

Explanation

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