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A nurse is reinforcing teaching about breastfeeding with the mother of a newborn.Which of the following instructions should the nurse include?

Begin each feeding with the same breast as the previous feeding.

Provide a formula supplement for the last feeding of the day.

Allow the newborn to empty the first breast before switching sides.

Offer the newborn 120 mL (4 oz) of water each day.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Starting each feeding with the same breast can lead to engorgement and decreased milk supply in the other breast.

Choice B rationale

Exclusive breastfeeding is recommended for the first six months. Providing a formula supplement can interfere with milk supply and breastfeeding success.

Choice C rationale

Allowing the newborn to empty the first breast ensures they receive hindmilk, which is richer in fat and essential for growth.

Choice D rationale

Newborns do not need additional water as breast milk or formula provides all necessary hydration.

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Correct Answer is A

Explanation

Choice A rationale

Respiratory rate of 10/min is a critical adverse effect, indicating potential respiratory depression due to magnesium sulfate, a serious and life-threatening condition requiring immediate intervention.

Choice B rationale

Urine output of 160 mL in 4 hours is lower than expected but not immediately life-threatening. It needs monitoring but is not as critical as respiratory rate.

Choice C rationale

Diaphoresis, or excessive sweating, can be a side effect of magnesium sulfate but is not life-threatening. It warrants attention but does not require immediate reporting.

Choice D rationale

Nausea is a common, less severe side effect of magnesium sulfate that does not indicate an urgent situation.

A. "I will remain in the sitz bath for 10 minutes.”. B. "I will use the numbing spray prior to cleansing the area.”. C. "I will place a heat pack to the area several times a day.”. D. "I will apply witch hazel pads after urination.”. .

Correct Answer is D

Explanation

Choice A rationale

Remaining in the sitz bath for only 10 minutes might not provide enough relief for a postpartum client with an episiotomy and hemorrhoids. Extended periods in a sitz bath can help reduce pain and promote healing.

Choice B rationale

Using numbing spray before cleansing is helpful for pain management, but it is not as beneficial as other methods for reducing inflammation and promoting healing.

Choice C rationale

Placing a heat pack to the area several times a day can help with pain but might not be as effective as other options in reducing swelling and promoting healing of hemorrhoids and episiotomy sites.

Choice D rationale

Applying witch hazel pads after urination helps reduce swelling, provides soothing relief, and promotes healing for both hemorrhoids and episiotomy sites. Witch hazel has natural astringent properties that are beneficial for postpartum perineal care.

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A nurse is reinforcing teaching about breastfeeding with the mother of a newborn.Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.Which of the following adverse effects should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about perineal care to a client who is 2 hours postpartum and has an episiotomy and hemorrhoids.Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is D

Explanation

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