A nurse is assisting in the care of a client who is 48 hr postpartum. The client states, "My baby won't stop crying even though I've changed her diaper and breastfed her." Which of the following statements should the nurse make?

"Your baby needs to suck on a pacifier."

"Swaddling your baby snugly in a blanket might help soothe her."

"Breastfed babies are usually fussy from swallowing too much air during feedings."

"Breastfed babies often need to be supplemented with formula."

Answer and Explanation

The Correct Answer is B

A. "Your baby needs to suck on a pacifier" is not necessarily the best advice for this situation. While pacifiers can help some babies self-soothe, crying is often a sign of an unmet need, and further assessment is needed to determine the cause of the crying. Offering a pacifier without addressing other potential causes might overlook the root issue.

B. "Swaddling your baby snugly in a blanket might help soothe her" is correct. Swaddling can help calm a newborn by providing a sense of security and warmth, mimicking the conditions of the womb. It is a common technique used to soothe babies.

C. "Breastfed babies are usually fussy from swallowing too much air during feedings" is incorrect. While some babies may have mild gas or discomfort from swallowing air, excessive crying is not typically due to this alone, especially if the baby has been fed properly and burped.

D. "Breastfed babies often need to be supplemented with formula" is not appropriate. While some breastfeeding difficulties can occur, advising formula supplementation without further investigation could undermine the breastfeeding process and should only be suggested after careful assessment and if truly necessary.

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Correct Answer is D

Explanation

A. “I can make several office visits, so my child does not get so many immunizations at once.”: This is incorrect. It is recommended that children receive multiple immunizations during a single office visit to help ensure they are fully vaccinated on time. Spacing out immunizations is not typically recommended unless there is a specific medical concern.

B. "I understand that immunizations will be withheld if my child has lactose intolerance.": This is incorrect. Lactose intolerance does not contraindicate immunizations. Some vaccines may contain small amounts of lactose, but this does not prevent a child with lactose intolerance from receiving them.

C. "My child will need to start the human papillomavirus series when he enters kindergarten.": This is incorrect. The human papillomavirus (HPV) vaccine is recommended to be started at ages 11 or 12, not when the child enters kindergarten.

D. "It is recommended that my child receive his first flu immunization at the age of 6.": This is correct. The first flu vaccine is recommended for children aged 6 months and older, and the initial flu vaccine may require two doses for children under 9 years of age, spaced at least 4 weeks apart.

A. Increased appetite B. Loose stools C. Bladder infection D. Loss of taste

Correct Answer is D

Explanation

A. Increased appetite: Radiation therapy, particularly to the head and neck, can cause nausea, mouth sores, and changes in taste, leading to a decrease in appetite rather than an increase.

B. Loose stools: Loose stools are not a typical side effect of external radiation for throat cancer. Radiation can affect gastrointestinal function if the abdomen or pelvis is irradiated, but it is not commonly associated with the throat area.

C. Bladder infection: Bladder infections are more likely to be associated with treatments like chemotherapy or radiation to the pelvic region, rather than radiation to the throat.

D. Loss of taste: Radiation therapy to the head and neck, including the throat, often affects the taste buds, leading to a condition called dysgeusia, or loss of taste. This is a well-known side effect of radiation in this area.

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A nurse is assisting in the care of a client who is 48 hr postpartum. The client states, "My baby won't stop crying even though I've changed her diaper and breastfed her." Which of the following statements should the nurse make?

Nursing Test Bank

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