A breastfeeding client asks the nurse to make sure that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched?

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Assessment of High Risk Pregnancy NCLEX Questions Questions

Question 1 of 5

A breastfeeding client asks the nurse to make sure that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched?

A. The baby swallows after every suckle. B. The baby’s body is facing the mother’s body. C. The baby’s lower lip is curled under. D. The baby is lying at the level of the mother’s breasts.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse is caring for a baby whose blood type is A+ (positive) and direct Coombs’ test is + (positive), and whose mother’s blood type is O+ (positive). Which of the following nursing diagnoses is appropriate for this baby?

A. Risk for injury to the central nervous system. B. Risk for fluid volume deficit. C. Risk for interrupted family processes. D. Risk for impaired parent-infant attachment.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 36-week-gestation client is having an amniocentesis. For which of the following reasons is the test likely being conducted?

A. Genetic evaluation. B. Assessment of intrauterine growth restriction. C. Assessment of fetal lung maturation. D. Hormonal studies.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client asks the nurse to explain what luteinizing hormone (LH) does in the body. The nurse explains which of the following?

A. It accelerates the growth and maturation of an egg in your ovary.' B. It enhances the potential for the sperm to fertilize the mature egg.' C. It promotes the movement of the egg through the fallopian tube.' D. It stimulates the monthly release of a mature egg from your ovary.'

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A couple has decided not to circumcise their son. Based on this decision, which of the following instructions should the nurse include in the parent teaching?

A. The couple should check their son’s temperature every evening because he will be high risk for urinary tract infections. B. The couple should fully retract the foreskin to assess for the presence of exudate every morning. C. The pediatrician will observe the baby void during each well-baby examination to assess for a phimosis. D. The prepuce should be cleansed with soap and water every day during the baby’s sponge bath.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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