A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?
Encourage the client to wear an underwire bra.
Have the client apply breast cream on a regular basis.
Provide plastic-lined breast pads.
Place breast shells in the client's bra.
The Correct Answer is D
A. Wearing an underwire bra is not recommended for breastfeeding mothers, especially those with inverted nipples, as it can cause pressure and discomfort, potentially leading to blocked milk ducts and mastitis.
B. Applying breast cream regularly is not specifically beneficial for inverted nipples. It can help with nipple soreness or dryness, but it does not aid in drawing out inverted nipples.
C. Plastic-lined breast pads can help with leakage but do not address the issue of inverted nipples. They do not assist in reshaping or encouraging the protrusion of the nipples.
D. Placing breast shells in the bra can help draw out inverted nipples by applying gentle, consistent pressure around the areola, which encourages the nipples to protrude, making breastfeeding easier for the newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I will need to start chemotherapy immediately." is incorrect. Chemotherapy is not always immediately necessary. Treatment depends on follow-up tests and the presence of persistent or malignant disease.
B. "I will need home palliative services after I am discharged from the hospital." is incorrect. Most clients recovering from a molar pregnancy do not require home palliative services unless there are specific complications.
C. "I will need an amniocentesis within 1 month." is incorrect. Amniocentesis is not required for clients recovering from a molar pregnancy.
D. "I will need to attend a support group when I get home." is correct. Support groups are helpful for emotional support and recovery after a molar pregnancy.
Correct Answer is []
Explanation
- Potential Condition: Hyperemesis Gravidarum
Actions to take
- Insert a peripheral venous access device:
- Monitor and manage electrolyte values:
Parameters to monitor
- Electrolyte values:
- Urine ketones:
Rationale
- Potential Condition: Hyperemesis Gravidarum
- This condition is characterized by severe nausea and vomiting, leading to dehydration and nutrient loss, which can affect both the mother and fetus.
- Actions to Take:
1. Insert a peripheral venous access device:
- This will allow for the administration of IV fluids and medications to treat dehydration and correct electrolyte imbalances.
2. Monitor and manage electrolyte values:
- Given the client's low potassium levels, it's crucial to monitor and manage electrolytes to prevent complications.
- Parameters to Monitor:
1. Electrolyte values:
- Monitoring electrolyte levels is essential to ensure they are within normal ranges and to adjust IV fluid composition as needed.
2. Urine ketones:
- Positive urine ketones indicate that the body is using fat for energy due to inadequate glucose utilization, which is common in Hyperemesis Gravidarum. Monitoring will help assess the effectiveness of treatment and nutritional status.
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