The nurse is teaching the patient about breastfeeding.
The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Oxytocin.

Progesterone.

Hindmilk.

Foremilk.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Oxytocin is the hormone responsible for the let-down reflex during breastfeeding. It is released from the posterior pituitary gland in response to the baby’s suckling. This hormone causes the milk ducts to contract and eject milk from the alveoli into the ducts, making it available for the baby.

Choice B rationale: Progesterone plays a role in preparing the breast tissue for lactation during pregnancy, but it does not directly trigger the let-down reflex.

Choice C rationale: Hindmilk is the milk produced later in a feeding session, which is richer in fat and calories. It is not a hormone and does not cause the let-down reflex.

Choice D rationale: Foremilk is the initial milk released during breastfeeding, which is higher in water content. It is also not a hormone and does not cause the let-down reflex.

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Correct Answer is C

Explanation

Choice A rationale

Docusate sodium is a stool softener and is not contraindicated for a postpartum client with a 4th degree laceration.

Choice B rationale

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can be safely used postpartum for pain management.

Choice C rationale

Carboprost is a medication used to control postpartum hemorrhage but is contraindicated in clients with asthma and with other risk factors due to its side effects, including severe diarrhea.

Choice D rationale

Ferrous sulfate is used to treat anemia and is not contraindicated in a postpartum client with a 4th degree laceration.

A. Respiratory assessment. B. Hemoglobin level. C. Heart rate. D. Constant trickle of blood at vagina.

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

Explanation

Choice A rationale

Respiratory assessment is crucial postpartum, especially with an elevated respiratory rate. It helps detect any respiratory distress or complications early.

Choice B rationale

Hemoglobin level assessment is essential to identify anemia or excessive blood loss during delivery, which can compromise the mother's health.

Choice C rationale

A heart rate of 110/min is above the normal range and might indicate tachycardia, which requires monitoring and possibly intervention.

Choice D rationale

A constant trickle of blood at the vagina could indicate postpartum hemorrhage, necessitating immediate medical attention.

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The nurse is teaching the patient about breastfeeding.The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration.Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding.Which medication would the nurse expect to be contraindicated?

Correct Answer is C

Explanation

A nurse is caring for a mother who delivered vaginally 2 hr ago.Axillary temperature 36.6° C (98.0° F). Heart rate 110/min.Respiratory rate 24/min.Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.

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

Explanation

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The nurse is teaching the patient about breastfeeding.
The nurse knows the following: 1. The hormone responsible for the let-down reflex is: