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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Kernicterus is a rare and severe form of jaundice-related brain damage, but it is not the typical type of jaundice diagnosed at 48 hours.
B. Physiologic jaundice is common in newborns and typically appears around 48 hours of life, usually resolving with simple interventions like frequent feedings and phototherapy.
C. Pathological jaundice occurs earlier than 48 hours and is often caused by blood group incompatibilities or other underlying health issues.
D. Erythroblastosis Fetalis is a severe form of jaundice due to Rh incompatibility, typically presenting in the first 24 hours and requiring more intensive treatment.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Performing a vaginal examination is contraindicated in cases of unexplained vaginal bleeding, especially if placenta previa is suspected. It could disrupt the placenta, leading to severe hemorrhage.
Since the client is Rh-negative and there is a risk of fetal-maternal hemorrhage, administering RhoGAM is necessary to prevent Rh sensitization, which could affect future pregnancies.
While prenatal counseling is generally beneficial, it is non-essential in the acute management of vaginal bleeding and doesn't directly address the immediate clinical issue.
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