Breastfeeding Video Assignment
When teaching a mother to breastfeed, the nurse understands by attaching the baby to mom's breast correctly it will be which of the following for the mother and infant? (Select all that apply). Allow the breast-feeding experience to be more uncomfortable Allow the infant to feed inadequately Allow the baby to feed effectively. Allow the breast-feeding experience to be more comfortable. Allow the mother to produce more milk
Allow the baby to feed effectively. Allow the breast-feeding experience to be more comfortable. Allow the baby to feed effectively.
Mom notices signs her baby is hungry. Which is not a sign that the baby may be hungry? Mom notices signs her baby is hungry. Which is not a sign that the baby may be hungry? Baby is sleeping quietly Baby bringing his/her hand to his/her mouth Baby turning his/her head from side to side. Baby moving his/her lips
Baby is sleeping quietly
A woman in her 20s has experienced a spontaneous abortion (miscarriage) at 10 weeks' gestation and asks the nurse at the hospital what went wrong. She is concerned that she did something that caused her to lose her baby. The nurse can reassure the woman by explaining that the most common cause of miscarriage in the first trimester is related to which factor?
Chromosomal defects in the fetus Explanation: Fetal factors are the most common cause of early miscarriages, with chromosomal abnormalities in the fetus being the most common reason. This client fits the criteria for early spontaneous abortion (miscarriage) since she was only 10 weeks' pregnant and early miscarriage occurs before 12 weeks
It is okay for mom to force the nipple into the baby's mouth to get the baby to open his mouth and breastfeed. (True or False).
False
The nurse should teach the mother when breastfeeding that the baby should latch on and drink from the nipple and not the breast. True or False? Incorrect answer:
False
Mom should be encouraged to breast feed her baby during which hour(s) immediately after birth? Mom should be encouraged to breast feed her baby during which hour(s) immediately after birth? Allow mom and baby to rest after birth, the nurses will bottle feed the baby First hour after birth Twenty-four hours after birth Five-hours after birth.
First hour after birth
The nurse is educating mom on the best technique on getting baby to attach to her breast, which method is the best? The nurse is educating mom on the best technique on getting baby to attach to her breast, which method is the best? Mom will lightly touch her nipple to the baby's ears, and this will make the baby open his/her mouth Mom will lightly touch her nipple to the baby's lower lip, and this will make the baby open his/her mouth Mom will lightly touch her nipple to the baby's upper lip, and this will make the baby open his/her mouth Mom will lightly touch her nipple to the baby's eyes, and this will make the baby open his/her mouth
Mom will lightly touch her nipple to the baby's upper lip, and this will make the baby open his/her mouth
The student nurse is observing mom breastfeeding her baby and noticed the baby is attaching well to mom's breast when which of the following is observed? The student nurse is observing mom breastfeeding her baby and noticed the baby is attaching well to mom's breast when which of the following is observed? The baby's cheek is sucked in, indicating the baby is sucking hard The baby's lower lip is turned inward allowing him to suck more The baby's chin is pressed into the breast allowing the baby to suck more The baby keeps coming off the breast to get more milk
The baby's chin is pressed into the breast allowing the baby to suck more
The student nurse assesses mom breastfeeding the baby, and mom is complaining her nipple is very painful. The student nurse is aware of some common reasons why mom's breast is painful during breastfeeding. Which of the following may be reasons? (Select all that apply). Shallow attachment is okay, the nipple will land deep in the baby's mouth, causing the baby to suck more effectively The baby's mouth may not be completely open, and baby is sucking the mom's nipple Shallow attachment by infant will cause the nipple to land under the hard roof of the mouth, pinching the nipple The baby's mouth may be opened wide, so baby is taking a mouthful of breast.
The baby's mouth may not be completely open, and baby is sucking the mom's nipple Shallow attachment by infant will cause the nipple to land under the hard roof of the mouth, pinching the nipple
When educating mom on the best time to feed her baby, the student nurse will explain the best time to feed the baby will be? When educating mom on the best time to feed her baby, the student nurse will explain the best time to feed the baby will be? When the baby is calm When the baby yells at you and tell you he/she is hungry When ever mom gets up to feed When baby is crying
When the baby is calm
A nurse is providing care to a pregnant woman with preterm prelabor rupture of membranes (PPROM). On admission, the client's baseline information was as follows: temperature, 97.6°F (36.5°C); pulse, 76 beats/minute; fetal heart rate, 136 beats/minute; white blood cell count, 7 x 103cells/mm3 (7.0 x 109/L). Now, 8 hours later, assessment reveals the following: temperature, 99.6°F (37.7°C); pulse, 82 beats/minute; fetal heart rate, 180 beats/minute; white blood cell count, 8.5 x 103 cells/mm3 (8.5 X 109/L). The nurse suspects a possible infection based on the change in which parameter?
fetal heart rate Explanation: Nursing management for the woman with prelabor rupture of membranes (PROM) or preterm prelabor rupture of membranes (PPROM) focuses on preventing infection and identifying uterine contractions. The risk for infection is great because of the break in the amniotic fluid membrane and its proximity to vaginal bacteria. Therefore, maternal vital signs must be monitored closely. The nurse should be alert for a temperature elevation or an increase in pulse, which could indicate infection. Also the nurse will monitor the fetal heart rate continuously, reporting any fetal tachycardia (which could indicate a maternal infection). The nurse will evaluate the results of laboratory tests such as a complete blood count (CBC). An elevation in white blood cells would suggest infection. For this woman, the change in fetal heart rate is significant and suggests a possible infection. Although the temperature, pulse rate, and white blood cell count are slightly increased, they are still within acceptable limits. Concern would grow if the client's temperature increased above100.4°F (38°C), pulse rate rose significantly from baseline, or the white blood cell count rose above 10 x 103 cells/mm3 (10 x 109/L).
The nurse is caring for a client with preeclampsia and understands the need to auscultate this client's lung sounds every 2 hours to detect which condition?
pulmonary edema Explanation: In the hospital, monitor blood pressure at least every 4 hours for mild preeclampsia and more frequently for severe disease. In addition, it is important to auscultate the lungs every 2 hours. Adventitious sounds may indicate developing pulmonary edema. Reference: Hatfield, N. T., & Kincheloe, C., Introductory Maternity and Pediatric Nursing, 5th ed., Philadelphia, Wolters Kluwer, 2022, Chapter 17: Pregnancy at Risk: Pregnancy-Related Complications, HYPERTENSIVE DISORDERS IN PREGNANCY, Preeclampsia-Eclampsia, p. 376. Chapter 17: Pregnancy at Risk: Pregnancy-Related Complications - Page 376
A nurse is reviewing a client's history and physical examination findings. Which information would the nurse identify as contributing to the client's risk for an ectopic pregnancy?
recurrent pelvic infections Explanation: In the general population, most cases of ectopic pregnancy are the result of tubal scarring secondary to pelvic inflammatory disease. Oral contraceptives, ovarian cysts, and heavy, irregular menses are not considered risk factors for ectopic pregnancy.
A nurse is caring for a pregnant client admitted with mild preeclampsia. Which assessment finding should the nurse prioritize?
urine output of less than 15 ml/hr Explanation: Severe preeclampsia may develop suddenly and bring with it high blood pressure of more than 160/110 mm Hg, proteinuria of more than 500 mg in 24 hours, oliguria of less than 15 ml/hr, cerebral and visual symptoms, and rapid weight gain. Mild facial edema or hand edema occurs with mild preeclampsia. A urinary output of 15 ml/hr would result in an output of 360 ml/24 hours, which would be below the recommended range and should be reported. Ankle edema of 1+ could be related to regular pregnancy and not necessarily just severe preeclampsia. A finding of 3+ to 4+ pitting edema would be more alarming and require intervention.