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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","C"]

Explanation

A. Maternal hypotension is a common side effect of epidural anesthesia, which can reduce uteroplacental blood flow and lead to late decelerations in the fetal heart rate.

B. Maternal tachycardia is not typically associated with late decelerations; it is more often seen with early decelerations or fetal distress.

C. An IV bolus prior to the epidural helps maintain blood volume and prevent hypotension. Without it, the risk of hypotension and subsequent late decelerations increases.

D. Placenta previa typically causes painless vaginal bleeding and may lead to abnormal FHR patterns, but it is not a direct cause of late decelerations post-epidural.

A. "The high blood volume and Wharton's jelly content of the umbilical cord prevent compression of the cord." B. “The umbilical cord normally contains two veins and one artery." C. "The fetal heart starts to beat at 4 weeks." D. “8 to 12 weeks heart rate can be heard with a doppler."

Correct Answer is B

Explanation

A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.

B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.

C. The fetal heart starts to beat around 4 weeks of gestation.

D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

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

Explanation

The nurse educator is preparing an educational workshop on fetal development. Which statement from a patient would indicate they need additional teaching or information?

Correct Answer is B

Explanation

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