The nurse has been teaching an apprehensive primipara who has had initial difficulty in nursing the newborn. What observation at the time of discharge suggests that initial breast feeding is effective?

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Question 1 of 5

The nurse has been teaching an apprehensive primipara who has had initial difficulty in nursing the newborn. What observation at the time of discharge suggests that initial breast feeding is effective?

Correct Answer: A

Rationale: Calm maternal behavior and interaction suggest effective latch and feeding confidence.

Question 2 of 5

The nurse is assessing a child with suspected lead poisoning. Which of the following assessments is the nurse most likely to find?

Correct Answer: D

Rationale: Lead poisoning often causes neurobehavioral issues like sleep disturbances in children.

Question 3 of 5

Which of these clients would the triage nurse request the provider examine immediately?

Correct Answer: A

Rationale: Wheezing and grunting in an infant indicate respiratory distress, a life-threatening emergency.

Question 4 of 5

A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially

Correct Answer: D

Rationale: Assessing English proficiency first determines the need for further communication aids.

Question 5 of 5

The nurse is providing foot care instructions to a client with arterial insufficiency. The nurse would identify the need for additional teaching if the client stated

Correct Answer: C

Rationale: Trimming corns/calluses risks injury in arterial insufficiency; professional care is needed.

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