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The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).

Length of time the infant feeding.

Listening to hear if the baby is swallowing

Asking about pain while feeding

Evaluating if the nipple is inverted, flat, or everted.

Assessing for help at home with breastfeeding

Use of a nipple shield

Answer and Explanation

Correct Answer : A,B,D

A. The length of time the infant is feeding is a factor in evaluating the effectiveness of breastfeeding.

B. Listening for swallowing during breastfeeding indicates that the infant is transferring milk effectively.

C. Asking about pain while feeding is important for assessing breastfeeding comfort, but it's not part of the LATCH score.

D. Nipple shape (inverted, flat, or everted) is part of the LATCH score, as it can impact latch and breastfeeding effectiveness.

E. Assessing for help at home with breastfeeding is important for support but is not part of the LATCH scoring system.

F. Use of a nipple shield is important for certain breastfeeding difficulties but is not part of the LATCH score.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.

B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.

C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.

D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.

A. Active stage of labor. B. 80% dilated C. The fetus is minus 1 cm above the pelvic outlet. D. The presenting part is 1cm below the ischial spines.

Correct Answer is ["C","E","F"]

Explanation

A. The active stage of labor typically begins when cervical dilation is around 4 cm. LC’s dilation of 6 cm suggests that she is already in the active phase, but this is not confirmed based on this vaginal exam alone.

B. LC is not 80% dilated; the figure 6/80/-1 indicates 6 cm dilation, 80% effaced, and -1 station (fetal head is still above the ischial spines).

C. The fetal station of -1 indicates that the presenting part (head) is 1 cm above the pelvic outlet, which is consistent with this description.

D. The presenting part being 1 cm below the ischial spines would indicate a station of +1, which is not described here.

E. The cervix is 80% effaced, meaning it is more than halfway thinned, which is correct.

F. With a dilation of 6 cm, LC is in the active phase of labor, not the latent phase, but the question refers to the latent phase for comparison.

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The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","D"]

Explanation

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Correct Answer is ["C","E","F"]

Explanation

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