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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.

Correct Answer is "{\"xRanges\":[103.5,203.5],\"yRanges\":[153,253]}"

Explanation

Quickening often occurs between 18 and 20 weeks gestation in multigravidas and between 16 and 18 weeks in subsequent pregnancies. If quickening has not occurred by 21 weeks, it may be a cause for concern, warranting further evaluation.

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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

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

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

Explanation

If a patient calls the doctors office and at 15 weeks gestation complaining that quickening has not occurred you would tell her this is normal. Click on the fetus that represents the number of weeks when you would tell her she should be concerned that quickening has not occurred?

Correct Answer is "{\"xRanges\":[103.5,203.5],\"yRanges\":[153,253]}"

Explanation

A woman had a recommended caloric intake of 2000 calories per day before becoming pregnant. She delivers and is breastfeeding. How many calories per day is recommended for her now?

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