A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

1 should be able to feel my baby swallowing during breastfeeding

"I should expect moderate tenderness during breastfeeding

"My baby will have at least one bowel movement every day

"My baby will have at least six wet diapers every day."

Answer and Explanation

The Correct Answer is A

A)   Correct- Feeling the baby's swallowing during breastfeeding indicates that the baby is effectively transferring milk from the breast. It suggests that the baby is latched on correctly and is receiving milk.
B)   Incorrect- Moderate tenderness during breastfeeding is common initially, but it should not be persistent or severe.
C)   Incorrect- While bowel movements are important, having at least one bowel movement every day is not necessarily an indicator of effective breastfeeding.
D)   Incorrect- While wet diapers are important to ensure adequate hydration, having at least six wet diapers every day is not the primary sign of effective breastfeeding.

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Correct Answer is A

Explanation

A) Correct- Amoxicillin is a safe and effective antibiotic for treating chlamydia infection in pregnant women.
B) Incorrect - Tetracycline and related antibiotics are often used to treat chlamydia, but they are contraindicated during pregnancy due to potential effects on fetal tooth and bone development. is contraindicated in pregnancy because it can cause fetal tooth discoloration and bone deformities.
C) Incorrect- Metronidazole is used for treating bacterial vaginosis and certain other infections, but it is not the first-line treatment for chlamydia.
D) Incorrect- Acyclovir is used to treat herpes simplex virus infections, not chlamydia.

A. Insert the needle at a 45° angle B. Obtain parental consent C. Give the first dose at 24 hr after birth. D. Administer the medication into the dorsal gluteal muscle

Correct Answer is C

Explanation

A) Incorrect- The angle of insertion for the hepatitis B vaccine is typically 90 degrees.

B) Incorrect- Obtaining parental consent is important for any medical procedure involving a minor, but it is not specific to the administration of the hepatitis B vaccine.
C) Correct - The first dose of the hepatitis B vaccine is usually given within the first 24 hours after birth to newborns whose mothers are hepatitis B positive to prevent vertical transmission.
D) Incorrect- The hepatitis B vaccine is usually administered into the vastus lateralis muscle in the newborn's thigh, not the dorsal gluteal muscle.

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A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?

Correct Answer is A

Explanation

A nurse is assisting with the care of a newborn whose mother has hepatitis B. Which of the following actions should the nurse plan to take when administering the hepatitis B vaccine?

Correct Answer is C

Explanation

A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?

A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?

A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?

A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?

A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?

A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

A nurse is caring for a client who reports discomfort due to afterpains following breastfeeding. Which of the following actions should the nurse take?