The mother of a breastfeeding 24-hour old infant is very concerned about the techniques involved in breastfeeding. She calls the nurse with each feeding to seek reassurance that she is doing it right. She tells the nurse, "Now my daughter is not getting enough to eat." Which response would be best for the nurse to make?- Nurselytic

Question 1 of 5

The mother of a breastfeeding 24-hour old infant is very concerned about the techniques involved in breastfeeding. She calls the nurse with each feeding to seek reassurance that she is doing it right. She tells the nurse, "Now my daughter is not getting enough to eat." Which response would be best for the nurse to make?

A. Feed your baby hourly until you feel confident that your child is receiving enough milk. B. Don't worry, soon your milk will come in, and you will feel how full your breasts are. C. Since you are so concerned, you should probably supplement breastfeeding with formula. D. If your baby's urine is straw-colored, she's getting enough milk.

Correct Answer: D

Rationale: Reassuring the mother that the baby's urine color can be an indicator of adequate hydration can help her feel more confident in her breastfeeding.

Question 2 of 5

A newborn who was born post-term is being assessed by a nurse. Which of the following findings should the nurse expect?

A. A Rh-negative mother who has an Rh-positive infant B. A Rh-positive mother who has an Rh-negative infant C. A Rh-positive mother who has an Rh-positive infant D. A Rh-negative mother who has an Rh-negative infant

Correct Answer: A

Rationale: The correct answer is A: 'A Rh-negative mother who has an Rh-positive infant.' In cases where the newborn is born post-term, the mismatched Rh factor between the mother (Rh-negative) and the infant (Rh-positive) can lead to hemolytic disease of the newborn. This condition occurs when maternal antibodies attack fetal red blood cells, causing hemolysis. This can result in jaundice, anemia, and other serious complications for the infant. Choices B, C, and D are incorrect because they do not reflect the mismatched Rh factor scenario that poses a risk for hemolytic disease of the newborn.

Question 3 of 5

Which information regarding the care of antepartum women with cardiac conditions is most important for the nurse to understand?

A. Stress on the heart is greatest in the first trimester and the last 2 weeks before labor. B. Women with class II cardiac disease should avoid heavy exertion and any activity that causes even minor symptoms. C. Women with class III cardiac disease should get 8 to 10 hours of sleep every day and limit housework, shopping, and exercise. D. Women with class I cardiac disease need bed rest through most of the pregnancy and face the possibility of hospitalization near term.

Correct Answer: B

Rationale: Class II cardiac disease is symptomatic with ordinary activity. Women in this category need to avoid heavy exertion and limit regular activities as symptoms dictate. Stress is greatest between weeks 28 and 32 of gestation, when hemodynamic changes reach their maximum. Class III cardiac disease is symptomatic with less-than-ordinary activity. These women need bed rest most of the day and face the possibility of hospitalization near term. Class I cardiac disease is asymptomatic at normal levels of activity. These women can perform limited normal activities with discretion, although they still need a good amount of sleep.

Question 4 of 5

What term is used to describe each member of a pair of genes?

A. allele B. zygote C. autosome D. node

Correct Answer: A

Rationale: The correct answer is 'allele.' An allele refers to one of two or more versions of a gene located at the same position on a chromosome. In genetics, alleles are responsible for variations in inherited traits. Choice B, 'zygote,' is incorrect as a zygote is a fertilized egg cell formed by the fusion of two gametes. Choice C, 'autosome,' is incorrect as autosomes are non-sex chromosomes that determine an individual's genetic traits excluding sex-linked characteristics. Choice D, 'node,' is incorrect as it does not relate to the concept of genes or genetic inheritance.

Question 5 of 5

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include?

A. Focusing on controlling body functions B. Synchronized breathing is often helpful during hypnosis C. Hypnosis can be beneficial if practiced during the prenatal period D. Hypnosis is ineffective for controlling pain associated with labor

Correct Answer: C

Rationale: Hypnosis can be an effective method of pain control during labor, especially if practiced during the prenatal period. Choice A is not specific to hypnosis and may not be directly related. Choice B is not essential for hypnosis and may not always be required. Choice D is incorrect as hypnosis has been shown to be beneficial for managing labor pain when done correctly, making it an inappropriate option to include in the teaching.

Nurselytic

HESI LPN

HESI LPN

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