Which three (3) assessment findings indicate that the breastfeeding client has achieved a proper latch?
Rhythmic suckling
A slurping sound as the infant sucks
Tongue down with lips flanged
Dimpling of the infant's cheeks while sucking
Audible swallowing
Correct Answer : A,C,E
A. Rhythmic suckling. Indicates the infant is effectively extracting milk.
B. A slurping sound as the infant sucks. This suggests poor latch and possible ingestion of air.
C. Tongue down with lips flanged. Shows that the infant's tongue is extended over the lower gum and lips are flared outward, creating a seal.
D. Dimpling of the infant's cheeks while sucking. Indicates improper latch and poor seal around the breast.
E. Audible swallowing. Indicates milk transfer is occurring as the infant swallows.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"C"}}
Explanation
1st Trimester (Conception-13 weeks)
- Fetus has a heartbeat: The fetal heartbeat can typically be detected around 6 weeks gestation using ultrasound, marking the beginning of cardiac development in the first trimester.
2nd Trimester (14-26 weeks)
- Gender can be determined: Gender determination through ultrasound is generally possible around the 18-20 week mark in the second trimester when fetal genitalia are more distinguishable.
3rd Trimester (27-40 weeks)
- Surfactant production: Surfactant production by the fetal lungs begins in the third trimester, usually around 24-28 weeks, but continues to increase throughout the remainder of pregnancy.
- Sucking occurs: Fetal sucking movements start to develop around the 28th week and become more coordinated as the third trimester progresses.
- Fetal respiratory movements begin: Fetal respiratory movements, where the fetus practices breathing by moving the diaphragm, begin in the third trimester to prepare for life outside the womb.
- Increase in body fat: The fetus begins to accumulate more body fat in the third trimester, which helps with thermoregulation and provides energy reserves for birth and early postnatal life.
|
Finding |
1st Trimester Conception-13 weeks |
2nd Trimester 14-26 weeks |
3rd Trimester 27-40 weeks |
|
Gender can be determined |
☐ |
☒ |
☐ |
|
Surfactant production |
☐ |
☐ |
☒ |
|
Sucking occurs |
☐ |
☐ |
☒ |
|
Fetus has a heartbeat |
☒ |
☐ |
|
|
Fetal respiratory movements begin |
☐ |
☐ |
☒ |
|
Increase in body fat |
☐ |
☐ |
☐ |
Correct Answer is ["A","B","E","F"]
Explanation
A. Substance use. Parents or caregivers who use substances are more likely to abuse children due to impaired judgment and increased stress levels.
B. Extreme stress. High levels of stress in the family can increase the risk of child abuse as it can lead to frustration and inappropriate coping mechanisms.
C. High socioeconomic background. This is not typically associated with increased risk of child abuse; abuse can occur across all socioeconomic levels, but certain stressors are more prevalent in lower socioeconomic contexts.
D. Strong support system. A strong support system typically acts as a protective factor against child abuse by providing resources and emotional support to caregivers.
E. Prematurity. Premature infants often have increased care needs, which can lead to parental stress and potential abuse.
F. Chronic illness. Children with chronic illnesses may require more care, leading to caregiver stress and higher risk of abuse.
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