A nurse is evaluating a client who just attended a breastfeeding class. Which of the following statements by the client demonstrates that she has understood the teaching?
"I will make sure that my baby has at least six wet diapers a day."
"I can reuse any breast milk my baby does not drink for the next feeding."
"I will feed my baby each time he cries."
"I can give my baby water following each feeding.”
The Correct Answer is A
A. "I will make sure that my baby has at least six wet diapers a day.": After the first week of life, at least six wet diapers per day indicates adequate hydration and sufficient breast milk intake. Urine output is a reliable indicator of effective breastfeeding and appropriate milk transfer. Monitoring diaper count helps assess nutritional adequacy.
B. "I can reuse any breast milk my baby does not drink for the next feeding.": Once a baby has fed from a bottle, bacteria from the infant’s mouth can contaminate the remaining milk. Reusing leftover milk increases the risk of bacterial growth and infection. Expressed breast milk that has been partially consumed should be discarded.
C. "I will feed my baby each time he cries.": Crying is a late sign of hunger. Early hunger cues include rooting, sucking motions, and hand-to-mouth movements. Waiting until the infant cries may make latching more difficult and interfere with effective feeding.
D. "I can give my baby water following each feeding.": Exclusively breastfed infants do not require supplemental water. Breast milk provides adequate hydration, even in warm climates. Giving water can interfere with feeding patterns and may lead to inadequate caloric intake or electrolyte imbalance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Store the fire extinguisher in a locked cabinet: Fire extinguishers should be stored in an accessible location, not locked away. In an emergency, immediate access is critical, and a locked cabinet could delay response and worsen fire hazards.
B. Aim the extinguisher at the top of the fire and move downward: The correct technique is to aim at the base of the fire, where the fuel source is located. Spraying at the flames themselves is ineffective because it does not interrupt the combustion process at its source.
C. Sweep the extinguisher from side to side to put out the fire: Once aimed at the base of the fire, sweeping from side to side ensures the extinguishing agent covers the entire fuel source, maximizing effectiveness and helping to prevent re-ignition. This is the recommended method for safe and efficient fire suppression.
D. Open the windows prior to discharging the fire extinguisher: Opening windows before using an extinguisher can increase oxygen flow to the fire, potentially making it burn more intensely. Fire suppression should be performed with doors and windows closed if possible to limit oxygen supply and contain the fire.
Correct Answer is B
Explanation
A. Report the location of the fire: Notifying appropriate personnel or the fire alarm system is important for mobilizing help and initiating emergency response. However, it is not the first action because immediate threats to client safety must be addressed before communication.
B. Protect clients from immediate injury: The priority in any fire situation is the safety of clients and staff. Removing clients from immediate danger or shielding them from harm takes precedence over reporting, containing, or extinguishing the fire. This aligns with the first step of the RACE protocol (Rescue) in fire safety.
C. Contain the fire to one area: Containing the fire by closing doors and windows is critical to prevent spread, but it follows after ensuring that clients and staff are safe from immediate harm. Containment cannot protect individuals already in danger.
D. Extinguish the fire if possible: Extinguishing a fire is part of the RACE protocol, but attempting to put out a fire is secondary to rescuing individuals at risk. Only small, controllable fires should be attempted after ensuring safety of clients and staff.
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