The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason?

to enhance the clearing of the newborn's respiratory passages

to aid in maturing the newborn's sucking reflex

to encourage the development of maternal antibodies

to facilitate maternal-infant bonding

Answer and Explanation

The Correct Answer is D

A. To enhance the clearing of the newborn's respiratory passages is not the primary reason for putting the newborn to the breast immediately. While early skin-to-skin contact and breastfeeding are beneficial, the clearing of respiratory passages is more directly related to the initial care the baby receives (such as suctioning if necessary), not breastfeeding.

B. To aid in maturing the newborn's sucking reflex is not the main reason for immediate breastfeeding. The sucking reflex is typically well-established in most newborns by the time of birth, and breastfeeding can help reinforce it. However, the reflex is present and functional even if the baby is not immediately breastfeeding.

C. To encourage the development of maternal antibodies is important in the longer term. Breastfeeding does provide immunological benefits to the baby (like colostrum), but the immediate reason for putting the baby to the breast is more about bonding and initiating breastfeeding.

D. To facilitate maternal-infant bonding is the primary reason for encouraging early breastfeeding. Skin-to-skin contact and breastfeeding immediately after birth promote emotional bonding between the mother and baby, which is beneficial for both. It also promotes the release of oxytocin in the mother, which supports uterine involution and maternal well-being.

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Correct Answer is C

Explanation

A. Advanced maternal age may increase the risk of certain pregnancy complications, but it is not specifically associated with shoulder dystocia. Other factors, such as fetal size, are more directly related to shoulder dystocia.

B. Polyhydramnios (excess amniotic fluid) can sometimes be associated with complications during labor, but it is not the primary risk factor for shoulder dystocia. The condition most often involves difficulties with the fetal position or size rather than the amount of fluid.

C. Macrosomia (a large baby, typically defined as a birth weight over 8 pounds 13 ounces or 4000g) is the primary risk factor for shoulder dystocia. Shoulder dystocia occurs when the baby’s shoulders become stuck during delivery, often due to the larger size of the baby. The baby’s shoulders may be too broad to pass through the birth canal easily, which increases the likelihood of this complication.

D. Preterm birth is not a significant risk factor for shoulder dystocia. Preterm babies are typically smaller and less likely to encounter the same birth canal obstruction issues associated with shoulder dystocia.

A. two fingerbreadths above the umbilicus B. two fingerbreadths below the umbilicus C. four fingerbreadths below the umbilicus D. at the level of the umbilicus

Correct Answer is B

Explanation

A. Two fingerbreadths above the umbilicus would not be a normal finding 48 hours postpartum. By this time, the uterus should be well on its way to returning to its pre-pregnancy size and position, typically about 1 to 2 fingerbreadths below the umbilicus.

B. Two fingerbreadths below the umbilicus is the expected finding 48 hours postpartum. After birth, the uterus begins to shrink (involution) and descend into the pelvic cavity. By 48 hours, the fundus is usually 1–2 fingerbreadths below the umbilicus.

C. Four fingerbreadths below the umbilicus would be more typical of a finding several days later, after the process of involution continues. This could be a sign that the uterus is shrinking at the expected rate.

D. At the level of the umbilicus is typically expected within the first 24 hours after delivery, but by 48 hours postpartum, the fundus should have descended slightly below the level of the umbilicus.

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The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason?

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Naxlex Comprehensive Predictor Exams

The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to which of the following?

Correct Answer is C

Explanation

A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the client's fundus and documents which finding as normal?

Correct Answer is B

Explanation

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