A mother who is six weeks postpartum reports to the home health nurse that her milk supply seems to be diminishing.

The nurse notices that the mother’s 16-month-old child is constantly vying for her attention.
What is the best advice the nurse can provide to help the mother with breastfeeding while also caring for a toddler?

Have the 16-month-old child play in another room during breastfeeding.

Read a book to the 16-month-old child while the mother is breastfeeding the infant.

Encourage the toddler to watch TV while the mother is breastfeeding the baby.

Give the toddler crayons and paper while the mother is breastfeeding the infant.

Answer and Explanation

The Correct Answer is B

Answer and explanation The correct answer is B. Choice A rationale

Having the 16-month-old child play in another room during breastfeeding might not be feasible or safe, depending on the child’s maturity and the safety of the environment.

Choice B rationale

Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.

Choice C rationale

While watching TV might keep the toddler occupied, it’s not the best option. Excessive screen time is not recommended for children at this age.

Choice D rationale

Giving the toddler crayons and paper is a good idea, but it might not keep the child engaged for the entire duration of the breastfeeding.

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Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Reviewing the child's medical records for a list of allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the brownish thickening on the neck of the child may not necessarily be related to allergies or sensitivities. This symptom could be indicative of various conditions, which would require further medical evaluation.

Choice B rationale

Inspecting the child's torso and arms for other signs of physical injury is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptom described by the nurse does not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptom.

Choice C rationale

Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to start treatment with permethrin would not be appropriate based on the information given.

Choice D rationale

Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. This symptom could be indicative of various conditions, which would require further investigation.

A. Feeding assistance. B. Fragile skin. C. Risk for falls. D. Chronic pain. E. Depression.

Correct Answer is ["A","B","C","D","E"]

Explanation

Answer and explanation

The correct answers are Choices A, B, C, D, and E.

Choice A rationale

Feeding assistance may be necessary for an older adult with Parkinson’s disease due to motor symptoms like tremors or stiffness that can make self-feeding difficult. Special utensils and other dining aids can help these individuals maintain their independence during meals.

Choice B rationale

People with Parkinson’s disease can experience changes in their skin, such as becoming oily or flaky. While the term “fragile skin” is not typically used in the context of Parkinson’s, these individuals may have skin that is more susceptible to damage due to these changes.

Choice C rationale

Parkinson’s disease often leads to motor symptoms such as stiff muscles and balance impairment, which can increase the risk of falls. Therefore, measures to prevent falls should be a key part of the care plan for an older adult with Parkinson’s disease.

Choice D rationale

Chronic pain is twice as common in people with Parkinson’s disease as it is in people without the condition. This pain can be caused by various factors, including muscle stiffness and dystonia (painful muscle spasms), and should be addressed in the client’s care plan.

Choice E rationale

Depression is more common in people with Parkinson’s disease compared to the general population. It’s important to monitor for signs of depression in these individuals and provide appropriate treatment if necessary.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child.What should be the nurse’s response to this observation?

Correct Answer is D

Explanation

An older adult is diagnosed with Parkinson’s disease.What problems should the nurse expect to address in this client’s home health care plan? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse is collaborating with a Parent-Teacher Organization (PTO) to enhance safety for children walking to and from a nearby elementary school.Which action should the nurse include to achieve this goal?

A 5-year-old patient has been brought in for a routine check-up and vaccination update.The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks.What actions should the nurse take?

In the event of a communication breakdown during a disaster, what actions should be taken?

The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.

A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches.The nurse is reviewing the patient’s data. Which data warrants follow-up?

The public health nurse is assessing resources in a rural community. Which healthcare resource is of utmost importance to the community?

A graduate nursing student requests information, including laboratory findings and chest X-ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic.What action should the charge nurse take?