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

Hypertonia, tachycardia, and metabolic alkalosis are not associated with necrotizing enterocolitis (NEC). NEC is characterized by gastrointestinal symptoms and signs of systemic illness.

Choice B rationale

Hypertension, apnea, and ruddy skin color are not specific indicators of necrotizing enterocolitis (NEC). NEC primarily presents with gastrointestinal symptoms and systemic instability.

Choice C rationale

Abdominal distention, temperature instability, and bloody stools are classic signs of necrotizing enterocolitis (NEC). These symptoms indicate severe inflammation and potential bowel necrosis.

Choice D rationale

Scaphoid abdomen, no residual with feedings, and increased urinary output are not characteristic of necrotizing enterocolitis (NEC). NEC typically presents with abdominal distention and feeding intolerance. .

A. "We can time your pain medication so it does not affect the baby.”. B. "All medications are found in breast milk to some degree.”. C. "You have the option of not taking pain medication if you are concerned.”. D. "Let’s discuss your pain management options.”.

Correct Answer is D

Explanation

Choice A rationale

Timing pain medication to avoid affecting the baby is important, but discussing pain management options provides a comprehensive approach.

Choice B rationale

Informing that all medications are found in breast milk can cause unnecessary worry without offering a solution.

Choice C rationale

Allowing the option to avoid pain medication doesn't address the need for effective pain management.

Choice D rationale

Discussing pain management options ensures the mother is aware of safe choices that won't harm breastfeeding.

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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

Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system.Which findings would cause the nurse to suspect NEC?

Correct Answer is C

Explanation

A nurse is caring for a client who is beginning to breastfeed her newborn after delivery.The new mother states, "I don’t want to take anything for pain because I am breastfeeding.”. Which statement should the nurse make?

Correct Answer is 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: