A nurse is reinforcing teaching with a client who is breastfeeding and reports nipple soreness. Which of the following recommendations should the nurse include in the teaching?
"Increase the frequency of feedings from the affected nipple."
"Apply vitamin E oil to the affected nipple before each feeding."
"Wash the affected nipple with soap and water before each feeding."
"Expose the affected nipple to the air between feedings."
The Correct Answer is D
A. Increasing the frequency of feedings from the affected nipple can worsen soreness. It’s important to address the underlying cause of soreness, which may involve evaluating latch technique or positioning rather than increasing feeding frequency.
B. Vitamin E oil is not recommended for sore nipples as it can cause irritation. Proper care involves managing latch and positioning, and sometimes using a lanolin cream rather than oils or other substances.
C. Washing the nipple with soap and water before each feeding can remove natural oils and lead to further irritation. The nipple should be gently cleaned with water, if necessary, and kept clean without over-washing.
D. Exposing the affected nipple to the air between feedings helps with healing and reduces moisture, which can exacerbate soreness. Allowing the nipple to air-dry can promote healing and reduce discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wear the lap belt high across the abdomen is incorrect. The lap belt should be worn low across the pelvis, not high across the abdomen, to avoid injury in the event of a collision.
B. Place the shoulder harness across the gravid uterus is incorrect. The shoulder harness should be placed across the chest and between the breasts, not directly across the uterus, to ensure safety.
C. Disable the vehicle's driver-side airbags is incorrect. Airbags should not be disabled, as they are crucial for safety. The seat should be adjusted to a safe distance from the steering wheel to avoid potential injury from the airbag.
D. Move the seat as far away as possible from the steering wheel is correct. This adjustment ensures that the driver is positioned safely away from the steering wheel and airbag, reducing the risk of injury during a collision.
Correct Answer is A
Explanation
A. Yogurt is an excellent source of calcium and is recommended to increase calcium intake during pregnancy. Adequate calcium is important for fetal bone development and maternal health.
B. Peanut butter is a good source of protein and healthy fats but is not high in calcium. It does not effectively address a low calcium level compared to dairy products or fortified foods.
C. Long-grain rice is a staple food but does not provide significant amounts of calcium. It is a carbohydrate source rather than a calcium-rich food.
D. Avocados are nutritious and provide healthy fats, but they are not significant sources of calcium. To correct a calcium deficiency, foods rich in calcium are needed.
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