A nurse is reinforcing discharge teaching with a client who is pregnant and was treated for a urinary tract infection.Which of the following should the nurse include in the discharge instructions? (Select all that apply.)
Douche after each sexual encounter.
Avoid urinating at bedtime.
Wear cotton-crotch underwear.
Eliminate yogurt products from diet.
Refrain from taking bubble baths.
Correct Answer : C,E
E.
Choice A rationale
Douching is generally not recommended, especially during pregnancy, because it can disrupt the natural balance of bacteria in the vagina, potentially leading to infections or other complications.
Choice B rationale
Avoiding urination at bedtime is not advisable, as holding in urine can increase the risk of urinary tract infections (UTIs). Frequent urination is a good practice to help prevent and manage UTIs.
Choice C rationale
Wearing cotton-crotch underwear is recommended because cotton is breathable and helps to keep the genital area dry, reducing the risk of infections and irritation.
Choice D rationale
Eliminating yogurt products from the diet is not necessary; in fact, yogurt contains probiotics that can be beneficial for maintaining a healthy balance of bacteria in the gut and vaginal area.
Choice E rationale
Refraining from taking bubble baths is advised, as the chemicals in bubble bath products can irritate the urethra and increase the risk of UTIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Starting each feeding with the same breast can cause engorgement and uneven milk supply.
Choice B rationale
Introducing formula can interfere with breast milk production and breastfeeding success.
Choice C rationale
Ensuring the newborn empties the first breast allows them to receive the nutrient-rich hindmilk, which is crucial for growth.
Choice D rationale
Offering water to a newborn is unnecessary and can interfere with feeding since breast milk or formula provides sufficient hydration. .
Correct Answer is A
Explanation
Choice A rationale
A single crease in the palm, known as a simian crease, is a common characteristic seen in infants with trisomy 21 (Down syndrome) due to the unique hand structure associated with this condition.
Choice B rationale
A notch in the lip, such as a cleft lip, is not commonly associated with trisomy 21 and is more typically related to other genetic conditions or environmental factors during development.
Choice C rationale
An inversion of the foot, such as clubfoot, is not a specific characteristic of trisomy 21. This condition is more often seen in other congenital anomalies not related to Down syndrome.
Choice D rationale
Extra digits on the hand, or polydactyly, is not commonly associated with trisomy 21 but can be seen in other genetic disorders. Trisomy 21 has more specific physical features like the simian crease.
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