The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery. The client is breastfeeding her newborn. The nurse instructs the client that if engorgement occurs the client should
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Solution
apply warm, moist heat to the breasts.
The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. She emphasizes that the optimum time to initiate lactation is
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Solution
as soon as possible after the infant’s birth.
The nurse instructs a primipara about safety considerations for the neonate. The nurse determines that the client does not understand the instructions when she says
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Solution
“It’s acceptable to prop the infant’s bottle once in a while.”
The nurse hears the mother of a 5-pound neonate telling a friend on the telephone, “As soon as I get home, I’ll give him some cereal to get him to gain weight?” The nurse recognizes the need for further instruction about infant feeding and tells her
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Solution
“The infant’s digestive tract cannot handle complex carbohydrates like cereal.”
A neonate is admitted to a hospital’s central nursery. The neonate’s vital signs are: temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute. The infant is pink with slight acrocyanosis. The priority nursing diagnosis for the neonate is
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Solution
Ineffective thermoregulation related to fluctuating environmental temperatures.
The home health nurse visits the Cox family 2 weeks after hospital discharge. She observes that the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. The mother can be instructed to
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Solution
give him a bath in an infant tub now.
Soon after delivery a neonate is admitted to the central nursery. The nursery nurse begins the initial assessment by
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Solution
inspecting the posture, color, and respiratory effort.
An insulin-dependent diabetic delivered a 10-pound male. When the baby is brought to the nursery, the priority of care is to
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Solution
check the baby’s serum glucose level and administer glucose if < 40 mg/dL.
A newborn’s mother is alarmed to find small amounts of blood on her infant girl’s diaper. When the nurse checks the infant’s urine it is straw colored and has no offensive odor. Which explanation to the newborn’s mother is most appropriate?
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Solution
“Some infants experience menstruation like bleeding when hormones from the mother are not available”.
Which of the following behaviors would indicate that a client was bonding with her baby?
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Solution
The client talks to the baby and picks him up when he cries.