Page 1 of 116
NSG 3500 EXAM 3 ALL 500 QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST UPDATE THIS YEAR - JUST
RELEASED
QUESTION: A 3-day-postpartum breastfeeding woman is being assessed. Her breasts are firm
and warm to the touch. When asked when she last fed the baby her reply is, "I fed the baby last
evening. I let the nurses feed him in the nursery last night. I needed to rest." Which of the
following actions should the nurse take at this time?
1. Encourage the woman exclusively to breastfeed her baby.
2. Have the woman massage her breasts hourly.
3. Obtain an order to culture her expressed breast milk.
4. Take the temperature and pulse rate of the woman. - ANSWER-1
Clients should be strongly encouraged exclusively to breastfeed their babies to prevent
engorgement.Massaging of the breast will stimulate more milk production. That is not the best
action to take.
It is unnecessary to culture the breast. This client is engorged; she does not have an infection.It
is unnecessary to assess this client's temperature and pulse rate. This client is engorged; she is
not infected.
QUESTION: A breastfeeding woman has been counseled on how to prevent engorgement.
Which of the following actions by the mother shows that the teaching was effective?
1. She pumps her breasts after each feeding.
ALL THE BEST CHAMP!!
1
,Page 2 of 116
2. She feeds her baby every 2 to 3 hours.
3. She feeds her baby 10 minutes on each side.
4. She supplements each feeding with formula. - ANSWER-2
Clients are not recommended to pump their breasts after feedings unless there is a specific
reason to do so.This statement is true. The best way to prevent engorgement is to feed the
baby every 2 to 3 hours.
Clients should not restrict babies' feeding times. Babies feed at different rates. Babies
themselves, therefore, should regulate the amount of time they need to complete their feeds.
Clients are not recommended to supplement with formula unless there is a specific reason to
do so.
QUESTION: A 2-day-postpartum breastfeeding woman states, "I am sick of being fat. When can
I go on a diet?" Which of the following responses is appropriate?
1. "It is fine for you to start dieting right now as long as you drink plenty of milk."
2. "Your breast milk will be low in vitamins if you start to diet while breastfeeding."
3. "You must eat at least 3,000 calories per day in order to produce enough milk for
your baby."
4. "Many mothers lose weight when they breastfeed because the baby consumes
about 600 calories a day." - ANSWER-4
It is not recommended that breastfeeding mothers go on weight-reduction diets. In addition, it
is not necessary for mothers to drink milk to make breast milk.
ALL THE BEST CHAMP!!
2
,Page 3 of 116
When a breastfeeding woman has a poor diet, the quality of her breast milk changes very little.
In fact, if a mother consumes a poor diet, it is her own body that will suffer. Mothers do not
need to eat 3,000 calories a day while breastfeeding.
Many mothers who consume approximately the same number of calories while breastfeeding
as they did when they were pregnant do lose weight while breastfeeding.
QUESTION: A G2 P2002 who is postpartum 6 hours from a spontaneous vaginal delivery is
assessed. The nurse notes that the fundus is firm at the umbilicus, there is heavy lochia rubra,
and perineal sutures are intact. Which of the following actions should the nurse take at this
time?
1. Do nothing. This is a normal finding.
2. Massage the woman's fundus.
3. Take the woman to the bathroom to void.
4. Notify the woman's primary healthcare provider. - ANSWER-4
QUESTION: A client informs the nurse that she intends to bottle feed her baby. Which of the
following actions should the nurse encourage the client to perform? Select all that apply.
1. Increase her fluid intake for a few days.
2. Massage her breasts every 4 hours.
3. Apply heat packs to her axillae.
4. Wear a supportive bra 24 hours a day.
5. Stand with her back toward the shower water. - ANSWER-4 and 5 are correct.
ALL THE BEST CHAMP!!
3
, Page 4 of 116
It is unnecessary for a bottle-feeding mother to increase her fluid intake.
It is inadvisable for a bottle-feeding mother to massage her breasts.
It is inadvisable for a bottle-feeding mother to apply heat to her breasts.
The mother should be advised to wear a supportive bra 24 hours a day for a week or so.
The mother should be advised to stand with her back toward the warm shower water.
A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at
discharge. Which of the following must the nurse include in her discharge teaching regarding
the vaccine?
1. The woman should not become pregnant for at least 4 weeks.
2. The woman should pump and dump her breast milk for 1 week.
3. Surgical masks must be worn by the mother when she holds the baby.
4. Antibodies transported through the breast milk will protect the baby. - ANSWER-1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe birth defects can develop if the
woman becomes pregnant within 4 weeks of receiving the injection.
3. This is unnecessary. There is no risk to the baby whether the mother is bottle feeding or
breastfeeding.This statement is incorrect. There is no risk to the baby.
4. This statement is incorrect.
ALL THE BEST CHAMP!!
4
NSG 3500 EXAM 3 ALL 500 QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST UPDATE THIS YEAR - JUST
RELEASED
QUESTION: A 3-day-postpartum breastfeeding woman is being assessed. Her breasts are firm
and warm to the touch. When asked when she last fed the baby her reply is, "I fed the baby last
evening. I let the nurses feed him in the nursery last night. I needed to rest." Which of the
following actions should the nurse take at this time?
1. Encourage the woman exclusively to breastfeed her baby.
2. Have the woman massage her breasts hourly.
3. Obtain an order to culture her expressed breast milk.
4. Take the temperature and pulse rate of the woman. - ANSWER-1
Clients should be strongly encouraged exclusively to breastfeed their babies to prevent
engorgement.Massaging of the breast will stimulate more milk production. That is not the best
action to take.
It is unnecessary to culture the breast. This client is engorged; she does not have an infection.It
is unnecessary to assess this client's temperature and pulse rate. This client is engorged; she is
not infected.
QUESTION: A breastfeeding woman has been counseled on how to prevent engorgement.
Which of the following actions by the mother shows that the teaching was effective?
1. She pumps her breasts after each feeding.
ALL THE BEST CHAMP!!
1
,Page 2 of 116
2. She feeds her baby every 2 to 3 hours.
3. She feeds her baby 10 minutes on each side.
4. She supplements each feeding with formula. - ANSWER-2
Clients are not recommended to pump their breasts after feedings unless there is a specific
reason to do so.This statement is true. The best way to prevent engorgement is to feed the
baby every 2 to 3 hours.
Clients should not restrict babies' feeding times. Babies feed at different rates. Babies
themselves, therefore, should regulate the amount of time they need to complete their feeds.
Clients are not recommended to supplement with formula unless there is a specific reason to
do so.
QUESTION: A 2-day-postpartum breastfeeding woman states, "I am sick of being fat. When can
I go on a diet?" Which of the following responses is appropriate?
1. "It is fine for you to start dieting right now as long as you drink plenty of milk."
2. "Your breast milk will be low in vitamins if you start to diet while breastfeeding."
3. "You must eat at least 3,000 calories per day in order to produce enough milk for
your baby."
4. "Many mothers lose weight when they breastfeed because the baby consumes
about 600 calories a day." - ANSWER-4
It is not recommended that breastfeeding mothers go on weight-reduction diets. In addition, it
is not necessary for mothers to drink milk to make breast milk.
ALL THE BEST CHAMP!!
2
,Page 3 of 116
When a breastfeeding woman has a poor diet, the quality of her breast milk changes very little.
In fact, if a mother consumes a poor diet, it is her own body that will suffer. Mothers do not
need to eat 3,000 calories a day while breastfeeding.
Many mothers who consume approximately the same number of calories while breastfeeding
as they did when they were pregnant do lose weight while breastfeeding.
QUESTION: A G2 P2002 who is postpartum 6 hours from a spontaneous vaginal delivery is
assessed. The nurse notes that the fundus is firm at the umbilicus, there is heavy lochia rubra,
and perineal sutures are intact. Which of the following actions should the nurse take at this
time?
1. Do nothing. This is a normal finding.
2. Massage the woman's fundus.
3. Take the woman to the bathroom to void.
4. Notify the woman's primary healthcare provider. - ANSWER-4
QUESTION: A client informs the nurse that she intends to bottle feed her baby. Which of the
following actions should the nurse encourage the client to perform? Select all that apply.
1. Increase her fluid intake for a few days.
2. Massage her breasts every 4 hours.
3. Apply heat packs to her axillae.
4. Wear a supportive bra 24 hours a day.
5. Stand with her back toward the shower water. - ANSWER-4 and 5 are correct.
ALL THE BEST CHAMP!!
3
, Page 4 of 116
It is unnecessary for a bottle-feeding mother to increase her fluid intake.
It is inadvisable for a bottle-feeding mother to massage her breasts.
It is inadvisable for a bottle-feeding mother to apply heat to her breasts.
The mother should be advised to wear a supportive bra 24 hours a day for a week or so.
The mother should be advised to stand with her back toward the warm shower water.
A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at
discharge. Which of the following must the nurse include in her discharge teaching regarding
the vaccine?
1. The woman should not become pregnant for at least 4 weeks.
2. The woman should pump and dump her breast milk for 1 week.
3. Surgical masks must be worn by the mother when she holds the baby.
4. Antibodies transported through the breast milk will protect the baby. - ANSWER-1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe birth defects can develop if the
woman becomes pregnant within 4 weeks of receiving the injection.
3. This is unnecessary. There is no risk to the baby whether the mother is bottle feeding or
breastfeeding.This statement is incorrect. There is no risk to the baby.
4. This statement is incorrect.
ALL THE BEST CHAMP!!
4
