Which action by the nurse is most effective to prevent sore nipples in a breastfeeding client?

Limit the amount of time the infant nurses on each breast

Apply nipple shields when not breastfeeding the infant

Instruct client to apply lanolin-based product to nipples

Ensure that the client positions and latches the infant correctly on the breast

Answer and Explanation

The Correct Answer is D

A. Limit the amount of time the infant nurses on each breast is not an effective strategy for preventing sore nipples. The issue is usually related to poor latch or positioning, not the duration of breastfeeding. Limiting nursing time could negatively impact milk supply and bonding.

B. Apply nipple shields when not breastfeeding the infant is not typically recommended as a preventive measure for sore nipples. Nipple shields are more often used to assist with latching problems, not to prevent soreness. Prolonged use can sometimes contribute to nipple confusion and further complications.

C. Instruct client to apply lanolin-based product to nipples can provide temporary relief for sore or cracked nipples, but it does not prevent soreness. The root cause of nipple pain is often related to improper positioning and latch, so this is more of a remedy than a preventive measure.

D. Ensure that the client positions and latches the infant correctly on the breast is the most effective way to prevent sore nipples. A proper latch ensures that the infant is effectively removing milk and reduces the likelihood of nipple trauma. The nurse should help the client with correct positioning, ensuring that the infant's mouth covers a large portion of the areola, not just the nipple.

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Correct Answer is D

Explanation

A. Ferrous sulfate is typically prescribed to prevent or treat iron deficiency anemia, which may be needed postpartum if there was significant blood loss during delivery, but it is not related to the care of a perineal laceration.
B. Methylergonovine is a medication used to prevent or treat postpartum hemorrhage by promoting uterine contraction. While it is important for hemorrhage management, it is not used for perineal laceration care.
C. Bromocriptine is used to suppress lactation in clients who are not breastfeeding, but it is not relevant to a fourth-degree laceration.
D. Docusate is a stool softener, which is often prescribed after a fourth-degree perineal laceration. The client needs to avoid straining during bowel movements, as it could put strain on the perineal area and hinder healing. Docusate helps prevent constipation and reduces the risk of further injury to the perineum.

A. convection B. conduction C. radiation D. evaporation

Correct Answer is B

Explanation

A. Convection is the loss of heat due to air or fluid movement around the body. While keeping the newborn warm in a draft-free area can help with this, the blanket on the scale primarily addresses heat loss through contact with the cold surface.
B. Conduction occurs when heat is transferred from the baby’s body to a cooler surface that it comes into direct contact with, like the cold scale. By placing a warmed blanket on the scale, the nurse minimizes heat loss due to conduction, ensuring the baby stays warm.
C. Radiation involves heat transfer to cooler objects nearby, but a warmed blanket on the scale does not directly address heat loss through radiation.
D. Evaporation occurs when moisture on the skin evaporates, taking heat away. A warmed blanket would not primarily address evaporation; it’s meant to prevent conduction heat loss.

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Which action by the nurse is most effective to prevent sore nipples in a breastfeeding client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A postpartum client has a fourth-degree perineal laceration. The nurse would expect which medication to be prescribed?

Correct Answer is D

Explanation

The nurse places a warmed blanket on the scale when weighing a newborn to minimize heat loss via which mechanism?

Correct Answer is B

Explanation

A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the client's fundus and documents which finding as normal?

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