17. Postpartum & Newborn Discharge Teaching

nutrition for breast-feeding pts (2)

-consume 2-3 L of fluid each day -increase 200-500 calories/day

how frequently newborns should breastfeed

-every 2-3 hrs -at least 8-12 times in 24 hrs

infant hunger cues (4)

-hand to mouth -hand to hand -sucking motions -rooting reflex

mastitis symptoms (5)

-localized heat -localized swelling -fever -chills -enlarged axillary lymph nodes

The nurse provides a list of discharge instructions to a client who has delivered a healthy newborn by cesarean delivery. Which statement by the client indicates the need for further teaching? 1. "A fever on and off is expected and is nothing to worry about." 2. "Even though I am breast-feeding my baby, I still can ovulate." 3. "I can begin abdominal exercises about a month after delivery." 4. "I should contact my doctor if I am having any feelings of depression."

1. "A fever on and off is expected and is nothing to worry about." (fever = infection) NCLEX

The nurse is preparing to instruct a client in how to bathe a newborn. Which statement should the nurse include in the instruction? 1. "Begin with the eyes and face." 2. "Begin with the feet and work upward." 3. "Do the back side first, and then the front side." 4. "Start with the chest, move to the face, and then finish the rest of the body."

1. "Begin with the eyes and face." NCLEX

The nurse has provided discharge instructions to a client who delivered a healthy newborn by cesarean delivery. Which statement made by the client indicates a need for further instruction? 1. "I will begin abdominal exercises immediately." 2. "I will notify the health care provider if I develop a fever." 3. "I will turn on my side and push up with my arms to get out of bed." 4. "I will lift nothing heavier than my newborn baby for at least 2 weeks."

1. "I will begin abdominal exercises immediately." (wait 3-4 weeks) NCLEX

The nurse is preparing to provide instructions to a new mother regarding cord care for a newborn infant. Which instructions would the nurse provide? (Select all that apply.) 1. "The cord needs to be kept clean and dry." 2. "Always use peroxide undiluted to clean the cord." 3. "Cord care need to be done once daily before bedtime." 4. "You need to do cord care until the cord dries up and falls off." 5. "You need to fold the diaper above the cord to prevent infection."

1. "The cord needs to be kept clean and dry." 4. "You need to do cord care until the cord dries up and falls off." NCLEX

The postpartum nurse teaches a mother how to give a bath to the newborn infant and observes the mother performing the procedure. Which observation indicates a lack of understanding of the instructions? 1. The mother bathes the newborn infant after a feeding. 2. The mother states that she would gather all supplies before the bath is started. 3. The mother states that she would never leave the newborn infant in the tub of water alone. 4. The mother fills a clean basin or sink with 2 to 3 inches of water and then checks the temperature with her wrist.

1. The mother bathes the newborn infant after a feeding. NCLEX

The nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which instructions should be included on the list? (Select all that apply) 1. wear a supportive bra 2. rest during the acute phase 3. maintain a fluid intake of at least 3000 mL/day 4. continue to breast-feed if the breasts are not too sore 5. take the prescribed antibiotics until the soreness subsides 6. avoid decompression of the breasts by breast-feeding or breast pump

1. wear a supportive bra 2. rest during the acute phase 3. maintain a fluid intake of at least 3000 mL/day 4. continue to breast-feed if the breasts are not too sore NCLEX

A client who is positive for HIV delivers a newborn infant. The nurse provides instructions to help the client regarding care of her infant. Which client statement indicates the need for further instruction? 1. "I will be sure to wash my hands before and after bathroom use." 2. "I need to breast-feed, especially for the first 6 weeks postpartum." 3. "Support groups are available to assist me with understanding my diagnosis of HIV." 4. "My newborn infant should be on antiviral medications for the first 6 weeks after delivery."

2. "I need to breast-feed, especially for the first 6 weeks postpartum." NCLEX

A pregnant woman who is infected with HIV delivers a newborn infant, and the nurse provides instructions to help the mother regarding care of the infant. Which statements by the client indicate the need for further instruction? (Select all that apply.) 1. "I will be sure to wash my hands thoroughly and frequently." 2. "I need to breast-feed, especially for the first 6 weeks postpartum." 3. "My baby needs to receive all of the recommended vaccines at the regular schedule." 4. "My baby has no symptoms so it is not likely that he has gotten the infection from me." 5. "My newborn infant should be on antiviral medications for the first 6 weeks after delivery."

2. "I need to breast-feed, especially for the first 6 weeks postpartum." 4. "My baby has no symptoms so it is not likely that he has gotten the infection from me." NCLEX

The nurse is providing instructions about measures to prevent postpartum mastitis to a client who is breast-feeding her newborn. Which client statement would indicate a need for further instruction? 1. "I should breast-feed every 2 to 3 hours." 2. "I should change the breast pads frequently." 3. "I should wash my hands well before breast-feeding." 4. "I should wash my nipples daily with soap and water."

4. "I should wash my nipples daily with soap and water." (soap is drying - don't use on nipples) NCLEX

The postpartum unit nurse has provided discharge instructions to a client planning to breast-feed her normal, healthy infant. Which statement by the client indicates an understanding of the instructions? 1. "If I experience any sweating during the night, I should call the health care provider." 2. "If I have uterine cramping while breast-feeding, I should contact the health care provider." 3. "If I'm still having bloody vaginal drainage in a week, I should contact the health care provider." 4. "If I notice any pain, redness, or swelling in my breasts, I should contact the health care provider."

4. "If I notice any pain, redness, or swelling in my breasts, I should contact the health care provider." NCLEX

A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (select all that apply.) A. Hypospadias B. Hydrocele C. Family history of hemophilia D. Hyperbilirubinemia E. Epispadias

A. Hypospadias C. Family history of hemophilia E. Epispadias ATI

A nurse is reviewing car seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position? A. Front seat, rear‐facing B. Front seat, forward‐facing C. Back seat, rear‐facing D. Back seat, forward‐facing

C. Back seat, rear‐facing ATI

A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? A. Over‐the‐shoulder B. Supine C. Chin‐supported D. Cradle

D. Cradle ATI

Treatments for breast engorgement include (select all that apply): a. cabbage leaves b. warm compresses before feeding, cold compresses after c. cold compresses before feeding, warm compresses after d. breastfeeding

a. cabbage leaves b. warm compresses before feeding, cold compresses after d. breastfeeding quiz

A nurse is providing teaching to the parents of a newborn about bottle feedings. Which of the following instructions should the nurse include in the teaching? a. Dilute ready to feed formula if the newborn is gaining weight too quickly b. Prop the bottle with a blanket for the last feeding of the day c. Discard unused refrigerated formula after 72 hrs d. Boil water for powdered formula for 1-2 min

d. Boil water for powdered formula for 1-2 min ATI

A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instructions should the nurse include in the teaching? a. Apply the diaper tightly over the circumcision area. b. Remove the yellow exudate with each diaper change. c. Use prepackaged commercial wipes to clean the circumcision site. d. Encourage nonnutritive sucking for pain relief.

d. Encourage nonnutritive sucking for pain relief. ATI

how to avoid nipple confusion

do not offer supplemental formula, pacifier, or soothers until breastfeeding has been established - 2-3 weeks

LATCH

proper latch assessment: L: latch A: audible swallowing T: type of nipple C: comfort (breast/nipple) H: hold (position)

breastfeeding benefits: infant (7)

↓ risk of: -infection (IgA antibodies) -SIDS -allergies -asthma -obesity -diabetes type 1 and 2 -leukemia

mastitis pt teaching (5)

-breastfeed/pump every 4 hrs -completely empty breasts with each feeding -supportive bra -wash hands before breastfeeding -heat packs or ice packs

engorgement pt teaching (5)

-completely empty breasts at each feeding -allow infant to nurse on demand -massage breasts during feeding -warm compress or shower before feeding -cool compress after feeding

non-breastfeeding pt teaching (5)

-wear a well-fitting supportive bra continuously for 1st 72 hrs -avoid breast stimulation -cold cabbage leaves (engorgement) -mild analgesics (engorgement pain) -engorgement usually resolves within 24-36 hrs after it begins

A woman infected with HIV has given birth to an infant who appears normal, and the nurse provides instructions about newborn infant care. Which statement by the mother indicates an understanding of the instructions? (Select all that apply.) 1. "I am going to need to bottle-feed my baby." 2. "I need to wash my hands before and after bathroom use." 3. "I can transmit the infection to my baby when I breast-feed." 4. "My baby won't need any medication to prevent the virus because my baby appears normal." 5. "I am going to contact some support groups to help me cope and learn ways to deal with things when I get home."

1. "I am going to need to bottle-feed my baby." 2. "I need to wash my hands before and after bathroom use." 3. "I can transmit the infection to my baby when I breast-feed." 5. "I am going to contact some support groups to help me cope and learn ways to deal with things when I get home." NCLEX

The nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. The nurse determines that the client has understood the instructions if she makes which statements? (Select all that apply) 1. "I should wear a bra that provides support." 2. "Drinking alcohol can affect my milk supply." 3. "The use of caffeine can decrease my milk supply." 4. "I will start my estrogen birth control pills again as soon as I get home." 5. "I know if my breasts get engorged I will limit my breast-feeding and supplement the baby." 6. "I plan on having bottled water available in the refrigerator so I can get additional fluids easily."

1. "I should wear a bra that provides support." 2. "Drinking alcohol can affect my milk supply." 3. "The use of caffeine can decrease my milk supply." 6. "I plan on having bottled water available in the refrigerator so I can get additional fluids easily." NCLEX

The mother of a newborn calls the clinic and reports that when cleaning the umbilical cord, she noticed that the cord was moist and that discharge was present. What is the most appropriate nursing instruction for this mother? 1. Bring the infant to the clinic. 2. This is a normal occurrence. 3. Increase the number of times that the cord is cleaned per day. 4. Monitor the cord for another 24 to 48 hours and call the clinic if the discharge continues.

1. Bring the infant to the clinic. (signs of infection = moistness, oozing, discharge, reddened base around cord) NCLEX

The nurse has provided instructions to a client on how to bathe her newborn. The nurse demonstrates the procedure to the client and on the following day asks the client to perform the procedure. Which observation, if made by the nurse, indicates that the client is performing the procedure correctly? 1. The client begins to wash the newborn by starting with the eyes and face. 2. The client cleans the newborn's ears and then moves to the eyes and the face. 3. The client washes the arms, chest, and back, followed by the neck, arms, and face. 4. The client washes the entire newborn's body and then washes the eyes, face, and scalp.

1. The client begins to wash the newborn by starting with the eyes and face. NCLEX

The nurse is teaching a postpartum client about breast-feeding. Which instruction should the nurse include? 1. The diet should include additional fluids. 2. Prenatal vitamins should be discontinued. 3. Soap should be used to cleanse the breasts. 4. Birth control measures are unnecessary while breast-feeding.

1. The diet should include additional fluids. NCLEX

At 10 days postpartum, a breast-feeding mother develops mastitis in her right breast. The nurse plans to instruct the client on which interventions? (Select all that apply.) 1. Using ice packs 2. Using analgesics 3. Initiating bottle-feeding 4. Wearing proper breast support 5. Completing the full course of prescribed antibiotics.

1. Using ice packs 2. Using analgesics 4. Wearing proper breast support 5. Completing the full course of prescribed antibiotics. NCLEX

A nurse visits a client at home who delivered a healthy newborn 2 days ago. The client is complaining of breast discomfort. The nurse notes that the client is experiencing breast engorgement. Which instructions should the nurse provide to the client regarding relief of the engorgement? (Select all that apply.) 1. Wear a supportive bra between feedings. 2. Apply moist heat to both breasts for about 20 minutes before a feeding. 3. Feed the infant at least every 2 hours for 15 to 20 minutes on each side. 4. Bottle-feed rather than breast-feed during the time of breast engorgement. 5. Massage the breasts gently during a feeding, from the outer areas to the nipples.

1. Wear a supportive bra between feedings. 2. Apply moist heat to both breasts for about 20 minutes before a feeding. 3. Feed the infant at least every 2 hours for 15 to 20 minutes on each side. 5. Massage the breasts gently during a feeding, from the outer areas to the nipples. NCLEX

4 breastfeeding positions

1. cradle (most common) 2. football hold (under the arm) 3. modified cradle (across the lap) 4. side-lying

The nurse is providing instructions to a client who has been diagnosed with mastitis. Which statement, if made by the client, indicates a need for further instructions? 1. "I need to wear a supportive bra to relieve the discomfort." 2. "I need to stop breast-feeding until this condition resolves." 3. "I can use analgesics to assist in alleviating some of the discomfort." 4. "I need to take antibiotics, and I should begin to feel better in 24 to 48 hours."

2. "I need to stop breast-feeding until this condition resolves." NCLEX

A new mother is seen in a health care clinic 2 weeks after giving birth. The mother is complaining that she feels as though she has the flu and complains of fatigue and aching muscles. On further assessment the nurse notes a localized area of redness on the left breast, and the mother is diagnosed with mastitis. The mother asks the nurse about the condition. The nurse should make which response? 1. "Mastitis usually involves both breasts." 2. "Mastitis can occur at any time during breast-feeding." 3. "Mastitis usually is caused by wearing a supportive bra." 4. "Mastitis is most common for women who have breast-fed in the past."

2. "Mastitis can occur at any time during breast-feeding." NCLEX

A 4-day-old newborn is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which instruction in the teaching plan of care during the home visit to the mother of the newborn? 1. Applying lotions to exposed newborn skin 2. Assessing skin integrity and fluid status of the newborn 3. Having minimal contact with the newborn to prevent stimulation 4. Advising the mother to limit the newborn's oral intake during phototherapy

2. Assessing skin integrity and fluid status of the newborn NCLEX

The postpartum nurse is providing instructions to the mother of a newborn with hyperbilirubinemia who is being breast-fed. The nurse should provide which most appropriate instruction to the mother? 1. Feed the newborn less frequently. 2. Continue to breast-feed every 2 to 4 hours. 3. Switch to bottle-feeding the infant for 2 weeks. 4. Stop breast-feeding and switch to bottle-feeding permanently.

2. Continue to breast-feed every 2 to 4 hours. NCLEX

When planning care for a postpartum client that plans to breast-feed her infant, which important piece of information should the nurse include in the teaching plan to prevent the development of mastitis? 1. Offer only one breast at each feeding. 2. Massage distended areas as the infant nurses. 3. Cleanse nipples with a mild antibacterial soap before and after infant feedings. 4. Express and discard milk from the affected breast at the first signs of mastitis.

2. Massage distended areas as the infant nurses. NCLEX

A nurse is teaching the mother of a newborn infant measures to maintain the infant's health. The nurse identifies which as an example of primary prevention activities for the infant? 1. Selective placement of the infant 2. Periodic well-baby examinations 3. Phenylketonuria (PKU) testing at birth 4. Administration of an antibiotic for an umbilical cord staphylococcal infection

2. Periodic well-baby examinations NCLEX

A breast-feeding mother of an infant with lactose intolerance asks the nurse about dietary measures. What foods should the nurse tell the mother are acceptable to consume while breast-feeding? (Select all that apply) 1. 1% milk 2. egg yolk 3. dried beans 4. hard cheeses 5. green leafy vegetables

2. egg yolk 3. dried beans 5. green leafy vegetables NCLEX

The nurse has provided instructions about measures to clean the penis to a mother of a male newborn who is not circumcised. Which statement, if made by the mother, indicates an understanding of how to clean the newborn's penis? 1. "I should retract the foreskin and clean the penis every time I change the diaper." 2. "I need to retract the foreskin and clean the penis every time I give my infant a bath." 3. "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." 4. "I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the penis after cleaning."

3. "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." NCLEX

The discharge nurse is discussing mastitis with a postpartum client. Which statement made by the client indicates a need for further instruction? 1. "If I develop a hot, reddened, triangle-shaped area on my breast, I should contact my health care provider." 2. "Antibiotics, rest, warm compresses, and adequate fluid intake are all important for the treatment of mastitis." 3. "If I develop a fever, chills, or body aches at any time after discharge, I should stop breast-feeding immediately." 4. "I may develop mastitis if I wear underwire bras, experience excessive fatigue, or suddenly decrease the number of feedings."

3. "If I develop a fever, chills, or body aches at any time after discharge, I should stop breast-feeding immediately." (should continue breast-feeding) NCLEX

The nurse is providing nutritional counseling to a new mother who is breast-feeding her newborn. The nurse should instruct the client that her calorie needs should increase by approximately how many calories a day? 1. 100 2. 300 3. 500 4. 1000

3. 500 NCLEX

A postpartum woman with mastitis in the right breast complains that the breast is too sore for her to breast-feed her infant. The nurse should tell the client to implement which measure? 1. Pump both breasts and discard the milk. 2. Bottle-feed the infant on a temporary basis. 3. Breast-feed from the left breast and gently pump the right breast. 4. Stop breast-feeding from both breasts until this condition resolves.

3. Breast-feed from the left breast and gently pump the right breast. NCLEX

The nurse is assigned to care for a client who has chosen to formula-feed her infant. The nurse should plan to provide which instruction to the client? 1. Apply a heating pad to breasts for comfort. 2. Wear a breast shield to correct nipple inversion. 3. Wear a supportive brassiere continuously for 72 hours. 4. Use the manual breast pump provided to express milk.

3. Wear a supportive brassiere continuously for 72 hours. NCLEX

Which statement reflects a new mother's understanding of the teaching about the prevention of newborn abduction? 1. "I will place my baby's crib close to the door." 2. "Some health care personnel won't have name badges." 3. "It's OK to allow the unlicensed assistive personnel to carry my newborn to the nursery." 4. "I will ask the nurse to attend to my infant if I am napping and my husband is not here."

4. "I will ask the nurse to attend to my infant if I am napping and my husband is not here." NCLEX

A postpartum client is attempting to breast-feed for the first time. The nurse notes that the client has inverted nipples. What nursing action should the nurse take to assist the client in breast-feeding the newborn infant? 1. Massage the breasts, applying gentle pressure on the areolas with the thumb and forefinger. 2. Have the mother grasp her areola between the thumb and forefinger and tug firmly to get the nipple to protrude. 3. Encourage taking a cool shower, allowing the water to run over the breasts, because this will encourage the nipples to protrude. 4. Provide breast shells and assist the mother with using a breast pump before each feeding to make the nipples easier for the newborn infant to grasp.

4. Provide breast shells and assist the mother with using a breast pump before each feeding to make the nipples easier for the newborn infant to grasp. NCLEX

The home care nurse's assignment is to visit a new mother at home 24 to 48 hours after discharge. What should the nurse expect to note in a healthy mother who is breast-feeding her newborn infant? 1. The mother has cracked nipples and feeds the infant with a supplemental bottle. 2. The mother complains of breast engorgement, and the infant demonstrates difficulty in latching onto the breast. 3. The mother is breast-feeding the infant with the infant's head turned toward her breast and the body flat in her arms; the mother has sore nipples, and the infant has a suck blister. 4. The mother is breast-feeding with the infant in a tummy-to-tummy position without signs of cracked nipples; the baby demonstrates bursts of sucking, followed by a pause and swallow.

4. The mother is breast-feeding with the infant in a tummy-to-tummy position without signs of cracked nipples; the baby demonstrates bursts of sucking, followed by a pause and swallow. (The infant should be positioned completely facing the mother with head, neck, and spine aligned. Poor positioning increases the number of attempts for latching on. The infant's head turned toward the breast and the body flat in the mother's arms is incorrect because it demonstrates improper positioning.) NCLEX

how long is prepared formula good?

48 hrs in the fridge

A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? A. "Apply cold compresses between feedings." B. "Take a warm shower right after feedings." C."Apply breast milk to the nipples and allow them to air dry." D."Use the various infant positions for feedings."

A. "Apply cold compresses between feedings." ATI

A nurse is providing discharge teaching for a nonlactating client. Which of the following instructions should the nurse include in the teaching? A. "Wear a supportive bra continuously for the first 72 hours." B. "Pump your breast every 4 hours to relieve discomfort." C."Use breast shells throughout the day to decrease milk supply." d."Apply warm compresses until milk suppression occurs."

A. "Wear a supportive bra continuously for the first 72 hours." ATI

A nurse is caring for a client who has mastitis. Which of the following is the typical causative agent of mastitis? A. Staphylococcus aureus B. Chlamydia trachomatis C. Klebsiella pneumonia D. Clostridium perfringens

A. Staphylococcus aureus ATI

A nurse is caring for a newborn. which of the following actions by the newborn indicates readiness to feed? A. Spits up clear mucus B. Attempts to place his hand in his mouth C. Turns his head toward sounds D. Lies quietly with his eyes open

B. Attempts to place his hand in his mouth ATI

A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make? A. "Limit the amount of time the infant nurses on each breast." B. "Nurse the infant only on the unaffected breast until resolved." C. "Completely empty each breast at each feeding or use a pump." D. "Wear a tight‐fitting bra until lactation has ceased."

C. "Completely empty each breast at each feeding or use a pump." ATI

A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? A. "His circumcision will heal within a couple of days." B. "I should remove the yellow mucus that will form." C. "I will clean his penis with each diaper change." D. "I will give him a tub bath within a couple of days."

C. "I will clean his penis with each diaper change." ATI

A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement? A. Apply gelfoam powder to the site. B. Place the newborn in the prone position. C. Apply petroleum gauze to the site. D. Avoid changing the diaper until the first voiding.

C. Apply petroleum gauze to the site. ATI

A nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide? A. Burp the newborn at the end of the feeding. B. Hold the newborn close in a supine position. C. Keep the nipple full of formula throughout the feeding. D. Refrigerate any unused formula.

C. Keep the nipple full of formula throughout the feeding. ATI

A nurse is providing discharge instructions to a postpartum client following a cesarean birth. the client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? a. Sit‐ups B. Pelvic tilt exercises C. Kegel exercises D. Abdominal crunches

C. Kegel exercises ATI

A nurse is reviewing formula preparation with parents who plan to bottle‐feed their newborn. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Use a disinfectant wipe to clean the lid of the formula can. B. Store prepared formula in the refrigerator for up to 72 hr. C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. E. use tap water to dilute concentrated formula.

C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. E. use tap water to dilute concentrated formula. ATI

A nurse is providing discharge instructions for a client. at 4 weeks postpartum, the client should contact her provider for which of the following client findings? A. Scant, nonodorous white vaginal discharge B. Uterine cramping during breastfeeding C. Sore nipple with cracks and fissures D. Decreased response with sexual activity

C. Sore nipple with cracks and fissures ATI

A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching? A. Cover the cord with a small gauze square. B. Trickle clean water over the cord with each diaper change. C. Apply hydrogen peroxide to the cord twice a day. D. Keep the diaper folded below the cord.

D. Keep the diaper folded below the cord. ATI

A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions by the mother indicates understanding of the teaching? A. The mother places a few drops of water on her nipple before feeding. B. The mother gently removes her nipple from the infant's mouth to break the suction. C. When she is ready to breastfeed, the mother gently strokes the newborn's neck with her finger. D. When latched on, the infant's nose, cheek, and chin are touching the breast.

D. When latched on, the infant's nose, cheek, and chin are touching the breast. ATI

A nurse is providing teaching to the parents of a newborn about home safety. Which of the following statements by the parents indicates an understanding of the teaching? a. "I will place my baby on his back when it is time for him to sleep." b. "I will keep my baby's crib close to the heat vents to keep him warm." c. "I will use an infant carrier when I drive to places close to my house." d. "I will tie my baby's pacifier around his neck with a piece of yarn."

a. "I will place my baby on his back when it is time for him to sleep." ATI

A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items? a. cold cabbage leaves b. purified lanolin cream c. a snug-fitting support bra d. breast shells

a. cold cabbage leaves ATI

Which is the most appropriate method for defrosting breast milk? a. Defrost under hot running water. b. Dispense a plastic container of breast milk in a glass of warm water. c. Defrost in boiling water. d. Microwave on medium heat.

b. Dispense a plastic container of breast milk in a glass of warm water. text

Which of the following is the best strategy for minimizing discomfort associated with milk production for a formula-feeding mother? a. Encourage the woman to pump milk from her breasts several times a day to relieve swelling. b. Instruct her to wear a tight-fitting bra as much as possible. c. Suggest she apply heat to her breasts to relieve soreness. d. Tell her that letting the shower run on her breasts every morning will help discourage milk production.

b. Instruct her to wear a tight-fitting bra as much as possible. text

A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. Which of the following instructions should the nurse include in the teaching? a. Stand under a hot shower with your breasts exposed. b. Place ice packs on your breasts. c. Wear a loose fitting, comfortable bra. d. Limit fluid intake to 1 L per day.

b. Place ice packs on your breasts. (to ↓ swelling as body produces milk) ATI

A breastfeeding client is concerned that her milk supply has begun to diminish. What is the most appropriate intervention for the client to assist in increasing milk supply? a. Supplement the newborn with formula until milk supply equals demand. b. Place the newborn to breast whenever possible to increase milk production. c. Increase nutritional intake, with more calories from fruits and/or vegetables. d. Use a pacifier between feedings to stimulate the suck reflex.

b. Place the newborn to breast whenever possible to increase milk production. text

A client is postoperative day 3 from a cesarean birth. What breastfeeding position is generally the most appropriate? a. Sitting up with the newborn resting on the mother's lap b. Side-lying with a pillow behind the back and one between the legs c. Leaning forward toward the newborn's mouth, with the newborn lying on the lap d. Football hold

b. Side-lying with a pillow behind the back and one between the legs text

mastitis

breast infection

Which woman having unprotected sex is most at risk for an unintentional pregnancy during the postpartum period? a. A non-nursing mother who is 4 weeks postpartum b. A nursing mother who is 6 weeks postpartum c. A non-nursing mother who is 8 weeks postpartum d. A nursing mother who is 10 weeks postpartum

c. A non-nursing mother who is 8 weeks postpartum (In non-nursing mothers, menstrual periods generally return in 6-10 weeks. They may ovulate prior to the first period. Nursing mothers usually have their first menstrual period delayed for at least 3 months, and they are prone to anovulatory cycles, putting them at lower risk for pregnancy.) text

The nurse is providing discharge teaching to a mother who is bottle-feeding her baby. Which of the following should the mother be counseled to avoid when reconstituting formula? a. Distilled water b. Tap water c. Filtered tap water d. Spring water

d. Spring water text

breastfeeding benefits: mother (6)

↓ risk of: -postpartum bleeding -ovarian and breast cancer -type 2 diabetes -hypertension -hypercholesterolemia -rheumatoid arthritis