The nurse is teaching a new mother about breastfeeding. The client tells the nurse that her sister became very uncomfortable when she tried to breastfeed because she had too much milk. Which suggestion should the nurse provide to help this client deal with the discomfort associated with engorged breasts?

Wear a supportive bra at all times.

Put a heating pad on the breasts while they are engorged.

Take two acetaminophen to relieve the discomfort.

Use breast cream to help prevent discomfort.

Answer and Explanation

The Correct Answer is A

A. Wear a supportive bra at all times: A supportive bra helps reduce discomfort by providing proper support to engorged breasts. This can help alleviate pressure and make the mother feel more comfortable while breastfeeding.

B. Put a heating pad on the breasts while they are engorged: While heat can sometimes help with milk flow before breastfeeding, it can make engorgement worse by increasing milk production. Cold compresses are typically recommended to reduce swelling and discomfort in engorged breasts.

C. Take two acetaminophen to relieve the discomfort: While acetaminophen can help manage pain, it is not the most effective solution for engorgement. Non-pharmacological methods like using supportive bra or cold compresses are often more effective in addressing the discomfort.

D. Use breast cream to help prevent discomfort: Breast creams are not typically effective for managing engorgement. The primary management for engorgement is addressing the physical discomfort through proper support and milk removal such as breastfeeding or expressing.

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Correct Answer is D

Explanation

A. The client's significant other's statement: The abuser's statement should not be included in the client's documentation. The focus should be on the client's account and evidence, not the abuser's perspective.

B. A general description: The documentation should be specific and detailed, including the nature and extent of injuries. A general description may not capture the full scope of the injuries or provide sufficient evidence.

C. Summary of the client's feelings: While the client's feelings may be important for providing emotional support, they are not as critical in the documentation of injuries. The nurse should focus on objective findings and clear descriptions of injuries.

D. Photographs: Photographs of the injuries should be taken and included in the documentation as objective evidence. This provides visual documentation of the injuries and can support legal or healthcare follow-up.

A. Obtain a baseline complete blood count. B. Review maternal Rh factor status. C. Provide family support. D. Initiate a saline lock.

Correct Answer is D

Explanation

A. Obtain a baseline complete blood count: While a complete blood count (CBC) may be important for some procedures, it is not a priority for amniocentesis unless there are signs of infection or complications.

B. Review maternal Rh factor status: Rh factor status is not the highest priority in preparation for an amniocentesis. The most immediate concern is ensuring that the client has access to intravenous (IV) access if necessary during the procedure.

C. Provide family support: While providing emotional support is important, the immediate priority is ensuring that the client is medically prepared for the amniocentesis, including having an IV line in place for possible medication administration or fluid needs.

D. Initiate a saline lock: The highest priority is ensuring that the client has a saline lock in place, as this provides access for medication administration or fluids, should complications arise. This ensures the client is medically prepared for any immediate needs during the amniocentesis.

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Naxlex Comprehensive Predictor Exams

The nurse completes an assessment of a client who is experiencing intimate partner violence (IPV). Which finding of the injuries should the nurse include in the documentation?

Correct Answer is D

Explanation

The nurse is preparing a 35 weeks gestation client with type 1 diabetes for an amniocentesis. After obtaining maternal vital signs and a baseline fetal heart rate, which nursing intervention has the highest priority?

Correct Answer is D

Explanation

A client tells the nurse that she thinks she is pregnant. Which sign or symptom provides the best indication that the client is pregnant?

A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin after delivery of an infant who is Rh-positive. Which information should the nurse provide this client?

Which content should the nurse plan to include in a nutrition class for pregnant adolescents? Select all that apply.

A woman who delivered a normal newborn 24 hours ago reports, "I seem to be urinating every hour or so. Is that OK? Which action should the nurse implement?

A client who has cervical cancer is admitted to the hospital for placement of a cervical radiation implant. Which instructions should the nurse provide before insertion of the applicator?

When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?

Exhibits The nurse reviews the client data. Complete the diagram by dragging from the choices area to specify what is occurring with the fetus, two actions the nurse should take to address the condition, and two parameters the nurse should monitor to assess progress.