Discharge Planning and Teaching (Davis Quizzes) Exam 2

The triage nurse receives a phone call from the parent of a 3-week old male infant. The parent states that the infant has had a pink tinge in their diaper for the last two days. How should the nurse respond?

"A pink color may indicate dehydration"

When planning for a childbirth education class for pregnant clients, the nurse knows to include benefits for breastfeeding for infants. What will the nurse include in the education session?

- Gastroenteritis - Obesity - Asthma

The nurse is preparing discharge instructions for the parents of a newborn. When developing the teaching plan, the nurse must include which rights of teaching?

- Right context - Right content - Right goal - Right method

The nurse observes a client breastfeeding a newborn and makes a complete LATCH assessment of the feeding. The nurse notes that the infant needs stimulation to latch, and has some audible swallowing with stimulation and minimal assistance from the nurse for positioning. The patient's nipple are everted, and the client denies any pain or discomfort. What score would the nurse document?

7; The client will get 1 point for the latch as it required stimulation, 1 point for the audible swallowing due to required stimulation, 2 point for the everted nipples and no pain, and 1 point for the hold as the nurse helps with positioning.

The nurse is teaching a patient about breast milk storage. The patient is concerned with how long breast milk can safely be stored in the refrigerator or freezer. What statements would the nurse include in the education?

Breast milk can be stored in a freezer attached to a refrigerator for 3-6 months. Breast milk should also only be stored in the refrigerator for 5 days. Breast milk can only be kept at room temperature for 6-8 hours.

A nurse is creating an educational pamphlet for women who are interested in breastfeeding. This pamphlet will be provided at prenatal appointments. What statements are appropriate to include in the educational pamphlet?

Breastfeeding has psychological benefits that include a decreased risk of postpartum depression. Breastfeeding your infant can lead to a decreased risk of otitis media. Breastfeeding mothers lose more weight after three months compared to those who did not breast feed.

The nurse is observing a new mother bathe her newborn female. The nurse knows teaching has been effective when the mother completes the bathing steps in which order?

Cleanse the eyes from inner to outer corner; wash hair and massage scalp; clean the upper body; clean the lower body; clean the genitals by washing front to back

What are the stages of breast milk in chronological order?

Colostrum, transitional milk, and finally mature milk.

An emergency room nurse admits a 6-week old infant. During the assessment, the nurse notes the infant to be lethargic. The infant vomits during the assessment and parent reports that the infant has been eating poorly. Upon visual inspection of the infant, faint bruising on the arms. What will the nurse be most concerned about?

Head trauma. The presence of bruising on the arms is most concerning for pediatric abusive head trauma when combined with the other symptoms.

The nurse understands that _______________ ________________ is a primary reason that women stop breastfeeding before the eighth week?

Painful nipples (painful nipples and improper latch are the primary reason women stop breastfeeding before the eighth week)

In order to prevent Shaken Baby Syndrome, a national prevention program has been instituted to educate parents on normal infant behavior. What is the correct acronym of the shaken baby campaign?

Peak of crying Unexpected Resists soothing Pain-like face Long-lasting Evening

A new mother who is breastfeeding is discussing feeding cues with the postpartum nurse. The nurse knows that education has been effective when the mother breastfeeds the baby after the baby displays what behavior?

The baby makes sucking motions. Sucking sounds of sucking of fingers or hands are feeding cues of the newborn, displayed 30 minutes before the infant cries.

The nurse is entering a client's room and overhears the grandmother telling the client to put rice cereal in the infant's bottle to help with sleep. The nurse shares with the client the signs to watch for that the infant is ready for solid foods, and wait until these are present to start cereal. What signs does the nurse include.

The infant is sitting with support, the infant refuses food by turning its head away, and the infant opens mouth to indicate hunger.

A nurse enters the room of a new mother and newborn. The mother is sleeping in the bed and the infant is lying in the bassinet. The nurse notices the baby showing early signs of hunger and wakes the mother to breastfeed. What did the nurse notice?

The newborn was placing a hand near the mouth, or sucking on their hand. (Infants will often place their hand near their mouth when they are hungry and will often such on the hand as well)

The Baby-Friendly hospital initiative started in 1991. The nurse understands that which is the goal of this program?

To improve breastfeeding rates and maternal-newborn bonding