A new mother asks the practical nurse (PN), "How do I know that my baby is getting enough breast milk?" Which explanation should the PN provide?
If your baby is voiding pale straw-colored urine 6 to 10 times a day, your milk is sufficient.
Weigh the baby before and after each feeding to see if she has gained any weight as a result of the feeding.
Offer the baby an extra bottle of milk after her feeding, and see if she is still hungry enough to take it.
If you're concerned, bottle feed your baby so that you can see how much milk your daughter is taking.
The Correct Answer is A
A. If your baby is voiding pale straw-colored urine 6 to 10 times a day, your milk is sufficient: Frequent wet diapers with light-colored urine is a reliable sign of adequate intake.
B. Weigh the baby before and after each feeding: Impractical for home use; reserved for special monitoring.
C. Offer the baby an extra bottle of milk after her feeding: Not recommended; interferes with breastfeeding and demand-supply regulation.
D. If you're concerned, bottle feed your baby so that you can see how much milk your daughter is taking: Not the first-line response; undermines breastfeeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer sublingual nitroglycerin: Not appropriate without confirming cardiac ischemia and provider order.
B. Assist the client back to the room: Delays immediate safety measures; sitting down is faster.
C. Obtain a 12-lead electrocardiogram: Important but comes after ensuring client safety and reducing workload on the heart.
D. Have the client sit down in the hall: First action is to stop activity and reduce oxygen demand while further assessment and interventions are arranged.
Correct Answer is C
Explanation
A. Infusion pump and IV site: Necessary but not priority for safety during epidural initiation.
B. Level of pain sensation: Important for effectiveness but not as urgent as monitoring for hypotension.
C. Maternal blood pressure (BP): Epidural anesthesia can cause vasodilation and maternal hypotension, which can compromise fetal oxygenation.
D. Variability of fetal heart rate: Important but affected indirectly by maternal BP; BP is assessed first.
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