A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

"Supplement breastfeedings with water every 12 hours."

"Limit the time your infant feeds to 10 minutes on each breast."

"Begin each feeding using the same breast."

"Offer your infant the breast when he shows signs of hunger."

Answer and Explanation

The Correct Answer is D

Rationale:
A. "Supplement breastfeedings with water every 12 hours.": Breastfed infants do not require water supplementation because breast milk provides adequate hydration. Giving water can reduce milk intake, interfere with nutrition, and increase the risk of electrolyte imbalance.

B. "Limit the time your infant feeds to 10 minutes on each breast.": Feeding duration should be guided by the infant’s cues rather than a strict time limit. Limiting feeds can prevent the infant from receiving the hindmilk, which is richer in fat and essential for growth.

C. "Begin each feeding using the same breast.": Alternating the starting breast for each feeding helps ensure equal stimulation and milk production in both breasts. Starting with the same breast consistently may lead to uneven milk supply.

D. "Offer your infant the breast when he shows signs of hunger.": Responsive, cue-based feeding supports adequate nutrition, growth, and bonding. Feeding on demand—such as rooting, sucking on hands, or fussiness—helps establish and maintain milk supply and meets the infant’s needs effectively.

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Correct Answer is A

Explanation

Rationale:
A. Establish alternatives to verbal conversation: Expressive aphasia affects a person’s ability to produce speech, so using alternative communication methods—such as picture boards, writing tools, or gestures—helps the client express needs effectively.

B. Provide educational materials with large print: Large-print materials are helpful for clients with visual impairments, not speech difficulties. Since expressive aphasia is a language production disorder, adjusting text size does not facilitate communication or address the underlying deficit.

C. Use a mechanical voice amplifier: A voice amplifier is beneficial for clients who can speak but have weak vocal strength, such as those with vocal cord paralysis. It is ineffective for clients with expressive aphasia because the issue lies in word formation, not vocal volume.

D. Have the client's glasses brought from home: Glasses improve visual acuity but do not address the client’s difficulty in forming words or sentences. While ensuring clear vision is supportive, it does not directly enhance the client’s ability to communicate verbally.

A. WBC count B. Fundal height C. Fetal heart rate D. Hemoglobin

Correct Answer is D

Explanation

Rationale:
A. WBC count: A WBC of 13,000/mm³ is within the expected range for pregnancy, as mild leukocytosis commonly occurs due to physiologic changes, and does not require immediate reporting.

B. Fundal height: A fundal height of 27 cm at 29 weeks is slightly below average but may reflect individual variation, fetal position, or maternal factors. This finding warrants monitoring but is not an urgent concern.

C. Fetal heart rate: FHR of 158/min is within the normal range (110–160/min) for a fetus and does not indicate fetal distress, so immediate reporting is not necessary.

D. Hemoglobin: Hemoglobin of 10 g/dL is below the expected range for pregnancy (typically 11–16 g/dL). This indicates anemia, which can affect maternal and fetal oxygenation, making it important to report to the provider for further evaluation and management.

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A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has expressive aphasia. Which of the following actions should the nurse take to assist the client in overcoming communication barriers?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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