A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother?

Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk.

Supplementing breastfeeding with formula allows the infant to receive adequate nutrition.

Breast size can be increased with exercise.

Milk is produced in ducts and lobules regardless of breast size.

Answer and Explanation

The Correct Answer is D

A. Drinking extra milk during pregnancy does not directly impact milk production. The body produces milk based on demand, not by consuming additional milk.

B. While formula supplementation may be necessary in some cases, it does not directly address the mother's ability to produce sufficient milk. It is important to focus on breastfeeding techniques and frequency to support milk production.

C. Breast size is not a determining factor for successful breastfeeding. Exercises will not increase breast size or enhance milk production significantly.

D. Milk production occurs in the mammary glands, specifically in the ducts and lobules, which are not dependent on breast size. Even women with smaller breasts can produce enough milk to exclusively breastfeed, as long as the demand and milk removal are properly managed.

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Correct Answer is C

Explanation

A. A weight gain of 11 to 20 pounds is recommended for those who are overweight (BMI 25-29.9) before pregnancy, but this BMI category may still be higher than 26.5.

B. A weight gain of 25 to 35 pounds is generally recommended for women with a normal BMI (18.5-24.9) before pregnancy.

C. The recommendation for you is about 15 to 25 pounds. This is the correct guideline for women with a BMI of 26.5, which places them in the overweight category. The goal is to prevent excessive weight gain while ensuring proper fetal growth.

D. It really doesn’t matter exactly how much weight you gain, as long as your diet is healthy is incorrect. Weight gain during pregnancy should be monitored carefully, as excessive weight gain can increase the risk of complications such as gestational diabetes and hypertension.

A. Supine hypotension syndrome B. Pregnancy-induced hypotension C. Anxiety D. Hypoglycemia

Correct Answer is A

Explanation

A. Supine hypotension syndrome occurs when the gravid uterus compresses the inferior vena cava when the woman is lying flat on her back, leading to decreased venous return, lowered cardiac output, and a drop in blood pressure. This can cause dizziness, lightheadedness, and sometimes fainting. It is more common in the later stages of pregnancy, such as at 38 weeks.

B. Pregnancy-induced hypotension refers to a decrease in blood pressure due to pregnancy, but it typically does not occur specifically when lying on the back, and is not the main cause of dizziness when positioned in that way.

C. Anxiety can cause dizziness, but it is not the most likely cause of dizziness related to lying flat on the back, especially in late pregnancy.

D. Hypoglycemia can cause dizziness, but it is not typically triggered by a change in position like lying on the back, making it less likely in this scenario.

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A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

Correct Answer is C

Explanation

A woman who is 38 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom?

Correct Answer is A

Explanation

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