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 C
Explanation
Choice A rationale
Dysuria, while concerning, is typically less urgent compared to the complete absence of fetal movement, which can indicate fetal distress or demise.
Choice B rationale
Nausea is a common symptom during pregnancy and generally less urgent compared to the absence of fetal movement, which may indicate a serious issue.
Choice C rationale
No fetal movement is a critical concern as it may indicate fetal demise or severe distress requiring immediate assessment and intervention to ensure fetal well-being.
Choice D rationale
A cough in pregnancy can be bothersome but is generally not as urgent compared to the absence of fetal movement, which can indicate potential fetal demise.
Correct Answer is ["A","E"]
Explanation
Choice B rationale: Breast tenderness is a common symptom of early pregnancy caused by hormonal changes. It generally does not require further investigation unless there are additional concerning signs like lumps or discharge from the nipples.
Choice C rationale: Nausea is another common symptom of early pregnancy due to increased levels of human chorionic gonadotropin (HCG). It is expected and usually does not require further investigation unless it becomes severe and leads to dehydration.
Choice D rationale: Fatigue is a typical symptom in early pregnancy, often due to hormonal changes and increased blood production. It generally does not require further investigation unless accompanied by other symptoms like severe anemia or thyroid dysfunction.
Choice E rationale: Burning with urination is a symptom of a urinary tract infection (UTI) or sexually transmitted infection (STI). Further investigation is necessary to identify the cause and provide appropriate treatment to prevent complications.
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