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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity. A higher ratio indicates that the baby's lungs are mature enough to handle breathing air outside the womb, which is the primary purpose of this test.
B. The L/S ratio test does not assess placental function. Placental function is evaluated through other tests, such as Doppler studies or biophysical profiles.
C. The L/S ratio test is not related to Rh incompatibility. Rh incompatibility issues are managed through different assessments, such as the Coombs test and Rh factor screening.
D. The L/S ratio test does not indicate genetic disorders. Genetic disorders are assessed through tests like amniocentesis or chorionic villus sampling, not the L/S ratio.
Correct Answer is []
Explanation
- Potential Condition: Hyperemesis Gravidarum
Actions to take
- Insert a peripheral venous access device:
- Monitor and manage electrolyte values:
Parameters to monitor
- Electrolyte values:
- Urine ketones:
Rationale
- Potential Condition: Hyperemesis Gravidarum
- This condition is characterized by severe nausea and vomiting, leading to dehydration and nutrient loss, which can affect both the mother and fetus.
- Actions to Take:
1. Insert a peripheral venous access device:
- This will allow for the administration of IV fluids and medications to treat dehydration and correct electrolyte imbalances.
2. Monitor and manage electrolyte values:
- Given the client's low potassium levels, it's crucial to monitor and manage electrolytes to prevent complications.
- Parameters to Monitor:
1. Electrolyte values:
- Monitoring electrolyte levels is essential to ensure they are within normal ranges and to adjust IV fluid composition as needed.
2. Urine ketones:
- Positive urine ketones indicate that the body is using fat for energy due to inadequate glucose utilization, which is common in Hyperemesis Gravidarum. Monitoring will help assess the effectiveness of treatment and nutritional status.
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