A nurse is conducting a prenatal course about breastfeeding to a group of clients who are pregnant. Which of the following information should the nurse include?

Avoid feeding the infant more than once every 3 hr.

Provide the newborn with 15 mL of sterile water each day.

Store expressed milk in the refrigerator for up to 7 days.

Feedings should begin within 1 hr after birth.

Answer and Explanation

The Correct Answer is D

A. Avoid feeding the infant more than once every 3 hr: Newborns should be fed on demand, which typically occurs every 1-3 hours, but it can vary. Some babies may want to nurse more frequently, especially in the early days, for comfort or to stimulate milk production. Restricting feedings to a set time interval can hinder the infant's ability to receive enough nourishment.
B. Provide the newborn with 15 mL of sterile water each day: Breast milk or formula provides all the hydration and nutrition the infant needs. Offering water can interfere with the infant's intake of breast milk, which is essential for proper growth and development.
C. Store expressed milk in the refrigerator for up to 7 days: While expressed breast milk can be stored in the refrigerator, the recommended storage time is typically 3-5 days, not 7 days. Storing milk for longer periods may increase the risk of bacterial growth, which could compromise the milk's safety and quality.
D. Feedings should begin within 1 hour after birth: Initiating breastfeeding within the first hour after birth is critical for both mother and baby. Early initiation of breastfeeding helps establish a good milk supply, promotes bonding, and provides the newborn with colostrum, which is rich in antibodies and nutrients essential for the baby’s immune system and overall health.

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Correct Answer is A

Explanation

A. "I should report any tingling I feel around my mouth. Tingling around the mouth, known as perioral paresthesia, is a classic symptom of hypocalcemia and can indicate worsening calcium deficiency or the onset of tetany. This symptom must be reported immediately because it suggests neuromuscular irritability that can progress to serious complications like laryngospasm or seizures if left untreated.
B. "I should take a 2,500-milligram calcium supplement every day." A daily calcium supplement of 2,500 mg exceeds the recommended upper limit for most adults, which is about 2,000 mg per day from supplements. Excessive calcium intake can lead to hypercalcemia, kidney stones, and other complications. Supplement dosage should be based on individual needs and prescribed by a healthcare provider.
C. "I should avoid dairy products, including cheese: Dairy products such as cheese, milk, and yogurt are rich sources of dietary calcium. Avoiding them would reduce calcium intake, which is counterproductive for a client with hypocalcemia. Unless contraindicated due to lactose intolerance or allergies, these foods are encouraged to help manage low calcium levels.
D. "I should expect my blood pressure to be very low." Hypocalcemia does not typically result in very low blood pressure. In fact, it more commonly causes neuromuscular symptoms such as muscle cramps, tetany, and tingling sensations. Low calcium levels may have some cardiovascular effects, but persistent hypotension is not a hallmark feature of hypocalcemia.

A. Use a washcloth to clean the denture surfaces. B. Floss dentures as part of daily cleaning. C. Wipe dentures before storing them in a dry container at night. D. Wrap gloved fingers with gauze to remove dentures.

Correct Answer is D

Explanation

A. Use a washcloth to clean the denture surfaces: Dentures should be cleaned using a soft-bristled toothbrush or denture brush to effectively remove food particles and plaque. A washcloth is not effective for thoroughly cleaning denture surfaces.
B. Floss dentures as part of daily cleaning: Flossing is intended for natural teeth, not dentures. Dentures require brushing and soaking, but do not have spaces between teeth that need flossing.
C. Wipe dentures before storing them in a dry container at night: Dentures should be stored in water or a denture solution overnight to prevent them from drying out and warping. Keeping them in a dry container is incorrect.
D. Wrap gloved fingers with gauze to remove dentures: Wrapping gloved fingers with gauze provides a better grip and reduces the risk of injury or dropping the dentures during removal. This is the appropriate technique when assisting with denture care.

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A nurse is conducting a prenatal course about breastfeeding to a group of clients who are pregnant. Which of the following information should the nurse include?

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