A nurse is providing teaching to a client who gave birth 8 hr ago and is exclusively breastfeeding. Which of the following information should the nurse include?
"Avoid eating seafood to minimize risk to the newborn.”
“Wait 1 hour to breastfeed after consuming alcohol."
"Consume additional calories each day to support milk production.”
"Caffeine slowly enters breast milk after maternal consumption."
The Correct Answer is C
A. Avoid eating seafood to minimize risk to the newborn: Seafood contains important nutrients like omega-3 fatty acids that support infant brain development; moderate consumption of low-mercury seafood is generally safe and encouraged during breastfeeding.
B. Wait 1 hour to breastfeed after consuming alcohol: Alcohol peaks in breast milk approximately 30 to 60 minutes after consumption; waiting only 1 hour may not be sufficient to prevent infant exposure depending on the amount consumed.
C. Consume additional calories each day to support milk production: Breastfeeding increases a mother’s energy needs by about 450 to 500 calories per day, so additional caloric intake is necessary to maintain adequate milk supply and support maternal health.
D. Caffeine slowly enters breast milk after maternal consumption: Caffeine passes into breast milk relatively quickly, usually within 30 to 60 minutes after ingestion, so it does not enter slowly but rather fairly rapidly after consumption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Reposition the client sideways each hour: Repositioning helps prevent pressure injuries, promotes even distribution of the anesthetic, and reduces the risk of unilateral block or venous stasis, which is especially important after epidural placement.
B. Have protamine sulfate available at the bedside: Protamine sulfate is an antidote for heparin, not epidural anesthesia. It has no role in managing side effects or complications related to an epidural.
C. Monitor the client for hypertension: Epidural anesthesia commonly causes hypotension due to vasodilation. The nurse should monitor for low blood pressure, not elevated readings.
D. Decrease the maintenance infusion rate of IV fluid: IV fluids are often increased prior to and after epidural placement to counteract potential hypotension. Reducing the rate could worsen the risk of low blood pressure.
Correct Answer is D
Explanation
A. Remove the safety inspection sticker before plugging in the IV pump: The safety inspection sticker should remain on the device to confirm that it has been tested and is safe to use. Removing it eliminates proof of its inspection status and compliance.
B. Grasp the IV pump cord when unplugging it from the electrical outlet: Pulling the cord rather than the plug can damage the internal wiring and increase the risk of electrical shock or equipment failure. The plug should be grasped firmly at the base.
C. Ensure that the electric outlet has two prongs for the IV pump: Medical equipment, including IV pumps, should be plugged into a three-pronged grounded outlet to ensure safe operation and reduce the risk of electrical shock or fire.
D. Check the cords of the IV pump for fraying: Inspecting the cords for damage before use is a standard safety measure. Frayed or damaged cords pose a serious electrical hazard and the device should not be used until repaired or replaced.
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