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 A

Explanation

A. 110 to 160/min is the normal range for a fetal heart rate at 12 weeks of gestation. The fetal heart rate tends to be higher early in pregnancy and stabilizes within this range by the second trimester.

B. 100 to 110/min is too low for a normal fetal heart rate.

C. 160 to 190/min is above the normal range and may suggest tachycardia, which requires further investigation.

D. 80 to 100/min is too low for a typical fetal heart rate and would be considered bradycardia, which could indicate a concern.

A. Prior to giving birth B. Two weeks before attempting pregnancy again C. When she does not desire future pregnancies D. Prior to discharge from the hospital after giving birth

Correct Answer is C

Explanation

A. Prior to giving birth: Live vaccines, such as MMR, are contraindicated during pregnancy due to the risk of harm to the fetus.
B. Two weeks before attempting pregnancy again: After receiving the MMR vaccine, a woman should wait at least 1 month (not 2 weeks) before attempting conception to prevent fetal exposure to the live virus.
C. When she does not desire future pregnancies: This would unnecessarily delay protection against rubella, which could pose a risk in future exposures or pregnancies.
D. Prior to discharge from the hospital after giving birth: This is the correct time to administer the MMR vaccine. It ensures the woman receives immunity before leaving the hospital and protects future pregnancies from congenital rubella syndrome.

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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 caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about fetal development with a group of women who are pregnant. Which of the following statements should the nurse include in the teaching?

A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

Which maternal hormone reduces uterine contractions to prevent spontaneous abortions?

A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?

When a couple has unprotected sexual intercourse 3 days before the woman ovulates, the risk of the woman becoming pregnant is:

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?

A nurse is collecting data from a client who is in her second trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?