A nurse is caring for a postpartum client.
Which of the following statements by the client indicates an understanding of the discharge teaching? Click to highlight the client statements that indicate an understanding of the discharge teaching.
"Because of my baby's weight loss, I need to supplement with formula after breastfeeding."
"I should make sure that my baby feeds 8 to 12 times per day."
"I should cover my sore nipples with plastic-lined breast pads after every feeding."
"My baby's stools should turn to a yellow color within the next day or two."
"I can increase my milk supply by drinking more water."
"I should expect my breasts to become harder, warmer, and more tender when my milk comes in."
"Because of my baby's weight loss, I need to supplement with formula after breastfeeding."
"I should make sure that my baby feeds 8 to 12 times per day."
"I should cover my sore nipples with plastic-lined breast pads after every feeding."
"My baby's stools should turn to a yellow color within the next day or two."
"I can increase my milk supply by drinking more water."
"I should expect my breasts to become harder, warmer, and more tender when my milk comes in."
The Correct Answer is ["B","D","F"]
Choice A rationale: Supplementing with formula is not always necessary for weight loss in newborns, as initial weight loss is typical. Regular breastfeeding usually suffices to regain birth weight, barring any medical issues. Overusing formula can impact breastfeeding success.
Choice B rationale: Newborns should be fed 8 to 12 times per day to ensure adequate nutrition and promote milk production. Frequent feeding also helps prevent engorgement and establishes a good breastfeeding routine, essential for both mother and baby.
Choice C rationale: Plastic-lined breast pads can trap moisture, which might exacerbate sore nipples. Using breathable, cotton pads is better for promoting healing and preventing infections. Proper latch techniques and frequent position changes are also vital for nipple comfort.
Choice D rationale: Meconium stools transition to yellow, seedy stools within a few days as the baby's digestion adjusts to milk intake. This stool color change is a sign that the baby is feeding well and effectively digesting breast milk.
Choice E rationale: While staying hydrated is essential for overall health, water intake alone does not directly increase milk supply. Milk production is primarily influenced by frequent and effective breastfeeding or pumping. Adequate nutrition and rest are also important.
Choice F rationale: When milk "comes in," typically between days 2 to 5 postpartum, breasts may become firmer, warmer, and more tender due to increased blood flow and milk production. This is a normal physiological response indicating a healthy lactation process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Enlarged uterus is a probable sign of pregnancy, often caused by uterine growth. Probable signs are those observed by the examiner but not definite.
Choice B rationale
Positive fetal cardiac activity on ultrasound is a positive sign of pregnancy. Positive signs are definitive proof of pregnancy, observed via imaging or hearing fetal heart tones.
Choice C rationale
Auscultation of fetal heart tones is a positive sign of pregnancy, indicating fetal presence. Positive signs confirm pregnancy through direct observation or hearing the fetus.
Choice D rationale
Amenorrhea is a presumptive sign of pregnancy, commonly due to hormonal changes. Presumptive signs are subjective symptoms experienced by the woman, like nausea or breast tenderness.
Correct Answer is B
Explanation
Choice A rationale
Screening for group B streptococcus B-hemolytic (GBS) is typically performed between 35-37 weeks gestation, not during the initial visit. This screen aims to reduce neonatal GBS infections.
Choice B rationale
A complete physical assessment is necessary during the initial prenatal visit to establish a baseline health status and identify any potential health issues or risk factors in pregnancy.
Choice C rationale
Measuring fundal height is usually done after 20 weeks gestation to assess fetal growth and development, not during the initial prenatal visit, where the focus is on baseline assessments.
Choice D rationale
Performing a urinalysis is part of the initial prenatal visit to screen for urinary tract infections, glucose, protein, and other substances, ensuring maternal and fetal health.
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