A nurse is planning to discharge a postpartum client who is exclusively breastfeeding their newborn. Which of the following instructions should the nurse include?

Schedule a visit to a nurse-led support group within four days.

Schedule a nurse's home visit in one week.

Schedule a lactation consultation in two weeks.

Schedule an appointment at a pediatrician's office within three days.

Answer and Explanation

The Correct Answer is D

A. Schedule a visit to a nurse-led support group within four days: While support groups are beneficial for breastfeeding mothers, they are optional and not a substitute for timely medical evaluation of the newborn. Support groups provide peer support not clinical assessment.

B. Schedule a nurse's home visit in one week: A home visit can be helpful, but waiting a full week may delay important assessments like weight monitoring, hydration status, and jaundice evaluation. Earlier follow-up is recommended, especially for breastfed newborns.

C. Schedule a lactation consultation in two weeks: Lactation consultants provide valuable support, but two weeks is too long to wait if issues with latch or milk supply are present. Early problems can lead to complications like dehydration or poor weight gain.

D. Schedule an appointment at a pediatrician's office within three days: Early pediatric follow-up is essential for breastfed newborns to assess feeding adequacy, weight, and overall well-being. This aligns with guidelines recommending evaluation within 3–5 days of birth.

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Correct Answer is A

Explanation

A. "I will check my pulse after I exercise." Monitoring the pulse after exercise helps the client assess their heart's response and recovery. It is a key part of safe cardiac rehabilitation and helps ensure they are exercising within the recommended target heart rate.

B. "If I feel any angina pain, I'll slow down my walking." Angina pain during activity is a warning sign of cardiac stress and should not be ignored. The client should stop exercising immediately and seek medical attention if symptoms persist, rather than slowing down.

C. "I'll do push-ups every day to strengthen my upper body." Isometric exercises like push-ups are generally discouraged in early cardiac recovery, as they increase intrathoracic pressure and cardiac workload. Aerobic exercises like walking are safer and more beneficial.

D. "I will avoid aerobic exercises." Aerobic exercise is recommended as part of cardiac rehabilitation after a myocardial infarction. It improves cardiovascular function and endurance when introduced gradually and monitored appropriately.

A. 1 cup of strawberries B. 1 stalk of celery C. 1 cup of oatmeal D. 1 oz of peanuts

Correct Answer is C

Explanation

A. 1 cup of strawberries: While strawberries provide some dietary fiber and vitamins, they are not as fiber-dense per serving compared to whole grains or legumes. One cup contains about 3 grams of fiber.

B. 1 stalk of celery: Celery has minimal fiber content—about 1 gram per stalk—and is mostly water. It can be part of a high-fiber diet but is not the best source among the options listed.

C. 1 cup of oatmeal: Oatmeal is an excellent source of soluble fiber, particularly beta-glucan, which helps improve bowel regularity and reduce cholesterol. One cup contains around 4–5 grams of fiber, making it the highest in this list.

D. 1 oz of peanuts: Peanuts contain some fiber (around 2–3 grams per ounce) and protein, but their fat content is high, and they are not primarily used as a fiber-rich food source. They are less beneficial for increasing bulk in stool compared to oatmeal.

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A nurse is planning to discharge a postpartum client who is exclusively breastfeeding their newborn. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who had a myocardial infarction about continuing to exercise after discharge. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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