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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. May 1 B. July 8 C. January 22 D. January 23

Correct Answer is C

Explanation

A. May 1 is not correct; this would be too early by several months.

B. July 8 is not correct; this date is too far out for the due date based on the LMP provided.

C. To calculate the due date using Naegele's rule, you add 7 days to the first day of the last menstrual period (LMP) and then subtract 3 months. Given: LMP: April 15th Step 1: Add 7 days to the LMP: April15th + 7 days= April 22nd Step 2: Subtract 3 months: April22nd – 3 months = January 22nd

D. January 22 is close but not the correct date by the standard calculation of 280 days.

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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

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

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Correct Answer is C

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