A nurse is teaching a client who is 2 days postpartum and is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

"My baby should have at least three bowel movements per day after 4 days of age."

"I should expect my baby to make a grunting sound when breathing"

"I should put my baby on a feeding schedule."

"My baby should sleep for at least 4 hours between feedings during the night."

Answer and Explanation

The Correct Answer is A

A. "My baby should have at least three bowel movements per day after 4 days of age.": This statement reflects correct understanding. By the fourth day of life, a healthy, breastfed newborn typically passes at least three yellow, seedy stools per day, indicating adequate intake and gastrointestinal function.

B. "I should expect my baby to make a grunting sound when breathing": Grunting is a sign of respiratory distress in a newborn and is not expected in a healthy infant. The client should be taught to report any abnormal respiratory sounds immediately.

C. "I should put my baby on a feeding schedule.": Newborns should feed on demand rather than on a strict schedule to ensure adequate nutrition and support breastfeeding. Rigid scheduling can lead to insufficient intake and dehydration.

D. "My baby should sleep for at least 4 hours between feedings during the night.": Newborns typically need to feed every 2–3 hours, including at night. Expecting the infant to sleep for 4 hours between feeds may indicate misunderstanding of normal feeding patterns and could result in inadequate caloric intake.

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Correct Answer is C

Explanation

A. Transmission of Escherichia coli from undercooked ground beef: This is an example of foodborne transmission, where pathogens are ingested through contaminated food. It does not involve a vector such as an insect or animal.

B. Transmission of giardia from contaminated water: This represents waterborne transmission, occurring when pathogens are ingested through contaminated drinking or recreational water, not via a vector.

C. Transmission of West Nile virus from a mosquito bite: West Nile virus is transmitted through the bite of an infected mosquito, which acts as a vector. This is a classic example of vector-borne transmission, where an organism carries and spreads a pathogen between hosts.

D. Transmission of hepatitis A from a food handler who has the virus: This is an example of direct contact or foodborne transmission, occurring when an infected individual contaminates food. It does not involve a vector to transmit the infection.

A. Plan the incorporation of new behaviors into daily life. B. Promote the client's dependence on the caregiver. C. Solve problems using a model applicable to the client's perspective. D. Mutually decide on the goals for the client's treatment

Correct Answer is D

Explanation

A. Plan the incorporation of new behaviors into daily life: This is part of the working phase of the therapeutic relationship, where interventions are implemented and the client practices new behaviors. It is not the focus of the orientation phase.

B. Promote the client's dependence on the caregiver: The goal of therapeutic relationships is to foster autonomy, trust, and self-efficacy, not dependence. Encouraging dependence can hinder the client’s progress and is not appropriate at any phase.

C. Solve problems using a model applicable to the client's perspective: Problem-solving occurs primarily during the working phase, once trust is established and goals are clear. It is not the main objective during the orientation phase.

D. Mutually decide on the goals for the client's treatment: The orientation phase focuses on building trust, establishing rapport, and collaboratively identifying goals for treatment. Engaging the client in goal setting ensures clarity, promotes cooperation, and sets the foundation for a therapeutic relationship.

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A nurse is teaching a client who is 2 days postpartum and is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

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