The nurse is teaching a group of new mothers regarding the benefits of breastfeeding.
Which factor would have a significant effect on the success of breastfeeding?
Distribution of erectile tissue in the nipples.
Amount of milk products consumed during pregnancy.
Viewpoint of the client's family towards breastfeeding.
Age of the client at the time of delivery.
The Correct Answer is C
Choice A rationale
The distribution of erectile tissue in the nipples primarily affects the ability to latch initially but is not a significant determinant of long-term breastfeeding success. Milk production and flow, which are driven by hormones like prolactin and oxytocin and are dependent on effective suckling, are the key physiological factors for sustaining breastfeeding, which are less reliant on erectile tissue.
Choice B rationale
The client's dietary intake of milk products during pregnancy has no direct, significant physiological or nutritional impact on the ability to produce breast milk post-delivery. Breast milk production relies on the mother's overall nutritional status and fluid intake, and the hormonal stimulation from the infant's suckling; specific dairy consumption is irrelevant to success.
Choice C rationale
The viewpoint of the client's family profoundly influences the success of breastfeeding by affecting the mother's stress levels, confidence, and access to practical support (e.g., emotional support, help with other children). Supportive partners and family members increase the mother's self-efficacy and her ability to manage challenges, which is critical for adherence and successful continuation of breastfeeding.
Choice D rationale
The age of the client at the time of delivery, whether adolescent or mature, has no direct physiological impact on the ability to produce breast milk. Milk production is a complex process primarily governed by endocrine changes (prolactin and oxytocin release) and the principle of supply and demand, which are independent of maternal age once the mammary glands are fully developed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["67"]
Explanation
Step 1 is to determine the volume of solution (in mL) that contains the ordered dose (4 grams) of magnesium sulfate:. 7 mg ÷ (2 mg/5mL). (1000 mL ÷ 60 grams) × 4 grams = 66.666. mL.
Step 2 is to round the answer to the nearest whole number:. 67 mL/hr. Answer 67 mL/hr.
Correct Answer is C
Explanation
Choice C rationale
Abruptio placentae is the premature separation of the placenta from the uterine wall. The classic signs include dark red vaginal bleeding (due to the pooling of blood behind the placenta), constant and intense abdominal pain, and a rigid, hypertonic uterus that does not relax between contractions. This rigidity is caused by the hemorrhage, clots, and resulting irritation and sustained contraction of the myometrium.
Choice A rationale
Preterm labor is characterized by regular uterine contractions causing cervical changes before 37 weeks' gestation. While contractions cause pain, the uterus typically relaxes completely between them, and the bleeding, if present, is usually bright red and less profuse than that seen with abruptio placentae, and it does not cause sustained uterine firmness.
Choice B rationale
Placenta previa is the implantation of the placenta over or near the cervical os. Its hallmark sign is painless, bright red vaginal bleeding that often occurs late in the second or third trimester. The uterus remains soft and relaxed, unlike the hard, board-like abdomen found with a severe placental abruption.
Choice D rationale
Placenta accreta involves abnormal adherence of the placenta to the uterine wall, typically becoming symptomatic at delivery when the placenta fails to separate. While it can cause bleeding, it does not typically present with the acute, severe abdominal pain and the sustained, board-like uterine rigidity seen before delivery, as it is a pathology of adherence, not separation.
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