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QUESTIONS With 100% Verified Solutions
Which rationale would lead the nurse to advise a
postpartum client to breastfeed regularly to lower the
risk of postpartum hemorrhage?
A. Lactose production B. Progesterone production C.
Estrogen production D. Oxytocin production
D (indogenous)
If a client chooses not to breastfeed, which condition
should the nurse assess for?
A. Engorgement B. Low estrogen levels C. Sore nipples
D. Postpartum depression
,A
Breast assessment
- Size and shape
- Abnormalities, reddened areas, or engorgement
- Presence of breast fullness due to milk presence
- Assess nipples for cracks, fissures, soreness, or inversion
- inverted or flat get nipple shield to pull out
- engorgment do they look tight and hard
How often should a patient be encouraged to
breastfeed in the first days postpartum?
A. About every hour B. About every 2-3 hours C. About
every 4 hours D. About every 6 hours
B (if sleeping and past 4 hours you have to wake them
up)
Lactation.
- Feeding pattern every 1.5- 3 hrs (8-12 times per 24 hr
period
- 10- 20 minutes on 1 st breast (maybe not as long on
second breast; start with other breast with next feeding)
- Breasts may feel heavy with "let down"
- Breastfeeding mothers should not consume alcohol for
at least 2 hours before nursing, and alcohol consumption
,should be limited to occasional use.
- start on one breast then the other then do the oposite
next time
Which of the following are signs the infant is getting
enough breastmilk in the first couple of days? SATA
A. Sunken fontanel B. Audible swallowing when the
infant is feeding C. Breasts softer after feeding D. Infant
sleeping through the
night
B,C (Milk drbble out of baby mouth)
A patient who is 4 weeks postpartum calls your clinic
with reports of a fever of 102.3, chills, and a reddened
area on her left breast. She reports breastfeeding her
infant. What condition do you suspect?
A. Uterine subinvolution B. Engorgement C. Mastitis D.
Perineal hematoma
C
What could cause infection
- stagnent milk (no feeding or pumping)
- cracked nipples
- dirty hands when touch breast
Engorgement vs Mastitis
, Which condition is likely and should be further
evaluated in a client who gave birth to triplets, whose
abdomen is overdistended, and whose abdominal
muscle walls are separated? A. Subinvolution B.
Diastasis recti abdominis C. Persistent rubra lochia D.
Postpartum hemostasis
B
Abdominal Assessment/
Which rationale explains the nursing intervention of
placing one hand below the umbilicus and the other on
the symphysis, then applying downward pressure
toward the vagina? SATA A. To assess laceration repair
for
redness B. To determine whether the
fundus is firm C. To help the client void
spontaneously D. To assist the client in expelling
clots E. To assess for the presence of
hemorrhoids
B,D
fundal assessment.
Fundal assessment cont...