A nurse is reinforcing teaching about breastfeeding with a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

"I will make sure that just the nipple is in my baby's mouth."

"I will lay my baby on a pillow at the level of my breast."

"I will nurse my baby for 5 to 10 minutes on each breast."

"I will apply vitamin E oil to my nipples after each feeding."

Answer and Explanation

The Correct Answer is B

A: The baby should take in both the areola and nipple for effective breastfeeding, not just the nipple.
B: This position helps ensure that the baby's mouth is at the same level as the breast, which promotes proper latch and feeding.
C: The duration of breastfeeding can vary, and it's often recommended to nurse until the baby is satisfied rather than setting a specific time limit.
D: Applying vitamin E oil after each feeding is not a standard practice and is not necessary for successful breastfeeding.

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Correct Answer is B

Explanation

A. Multiple gestation is associated with elevated levels of alpha-fetoprotein, not low levels.
B. Down syndrome is associated with low levels of alpha-fetoprotein.

C. Intrauterine growth restriction is not directly associated with maternal serum alpha-fetoprotein levels.
D. High levels of maternal serum alpha fetoprotein indicate a neurl tube defect such as spina bifida

A. 16.4 to 20.5 kg (36 to 45 lb) B. 5 to 7.7 kg (11 to 17 lb) C. 11.4 to 15.9 kg (25 to 35 lb) D. 8.2 to 10.9 kg (18 to 24 lb)

Correct Answer is C

Explanation

A. A weight gain of 16.4 to 20.5 kg (36 to 45 lb) is excessive for a client with a pre-pregnancy BMI of 21, which falls within the normal range. Such weight gain is more appropriate for an underweight client.

B. A weight gain of 5 to 7.7 kg (11 to 17 lb) is inadequate for a client with a normal pre-pregnancy BMI. This range is suitable for an overweight or obese client.

C. A pre-pregnancy BMI of 21 falls within the normal range (18.5–24.9), and the recommended weight gain for clients in this category is 11.4 to 15.9 kg (25 to 35 lb). This range supports healthy fetal growth and reduces the risk of complications.

D. A weight gain of 8.2 to 10.9 kg (18 to 24 lb) is slightly below the recommended range for a client with a normal BMI and may not adequately support fetal development. This range is more appropriate for overweight individuals.

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A nurse is reinforcing teaching about breastfeeding with a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

Correct Answer is C

Explanation

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