A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

Moro

Babinski

Stepping

Rooting

Answer and Explanation

The Correct Answer is D

A) Moro reflex:

The Moro reflex is a startle reflex characterized by the newborn's arms and legs extending outward in response to a sudden movement or noise. It is not involved in promoting breastfeeding latching.

B) Babinski reflex:

The Babinski reflex is a reflex action of the newborn's foot in response to stimulation. It involves the toes spreading out and the big toe dorsiflexing when the sole of the foot is stroked. This reflex is unrelated to breastfeeding.

C) Stepping reflex:

The stepping reflex is an automatic response seen in newborns when held upright with their feet touching a solid surface. They make stepping movements with their legs as if they are walking. This reflex is unrelated to breastfeeding.

D) Rooting reflex:

The rooting reflex is a natural instinct in newborns characterized by turning their head toward a stimulus that strokes or touches their cheek or mouth. This reflex helps facilitate breastfeeding by guiding the newborn's mouth toward the nipple, making it easier for them to latch onto the breast and initiate feeding.

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Correct Answer is C

Explanation

C) Cephalhematoma:

A cephalhematoma is a collection of blood between the skull bone and its periosteum. It appears as a raised, bruised area on the scalp and is typically limited by suture lines. Unlike caput succedaneum, which typically resolves within a few days and crosses suture lines, a cephalhematoma does not cross suture lines and may take weeks to months to resolve.

A) Caput succedaneum:

Caput succedaneum is a localized swelling of the soft tissues of the scalp, usually resulting from pressure against the dilating cervix during labor. It typically crosses suture lines and resolves within a few days.

B) Pilonidal dimple:

A pilonidal dimple is a small pit or sinus in the sacrococcygeal area, not related to scalp findings.

D) Molding:

Molding refers to the shaping of the fetal head to adapt to the birth canal during labor and delivery. It is a temporary deformity and does not involve bruising or raised areas on the scalp.

A. "Postpartum depression is more likely to occur in women who have a history of depression." B. "Postpartum depression usually begins 48 hours after childbirth." C. "The most common manifestation of postpartum depression is harming the infant." D. "It's common for clients who have postpartum depression to exhibit psychotic behavior."

Correct Answer is A

Explanation

A) "Postpartum depression is more likely to occur in women who have a history of depression":

This statement demonstrates an understanding of a significant risk factor for postpartum depression. Women with a history of depression are at a higher risk of experiencing postpartum depression due to various factors such as hormonal changes, stressors related to childbirth, and previous episodes of depression.

B) "Postpartum depression usually begins 48 hours after childbirth":

This statement is incorrect. Postpartum depression typically develops within the first few weeks to months after childbirth, rather than within 48 hours. The immediate postpartum period may involve the "baby blues," which are characterized by mood swings and mild depressive symptoms, but postpartum depression is a distinct condition that often develops later.

C) "The most common manifestation of postpartum depression is harming the infant":

This statement is incorrect. While postpartum depression can lead to difficulties in caring for the infant and may affect the mother-infant relationship, the most common manifestations of postpartum depression are feelings of sadness, hopelessness, and worthlessness, along with disturbances in sleep, appetite, and concentration.

D) "It's common for clients who have postpartum depression to exhibit psychotic behavior":

This statement is incorrect. Postpartum psychosis, characterized by severe mental disturbances, hallucinations, and delusions, is a rare but severe complication of childbirth. It is not synonymous with postpartum depression, although they both involve mood disturbances occurring after childbirth. Most women with postpartum depression do not experience psychotic symptoms.

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A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?

Correct Answer is C

Explanation

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

Correct Answer is A

Explanation

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