The nurse is assisting a postpartum client who is new to breastfeeding. The nurse knows the production of breast milk is dependent on which hormonal mechanism?
1. Follicular-stimulating hormone binding to cells in the ovaries
2. Epinephrine binding to alpha receptors in the blood vessels of the chest wall
3. Luteinizing hormone binding to cells in the ovaries
4. Prolactin binding to receptors in the breast secretory cells
Correct Answer: 4
Rationale 1: This hormone does not aid in the production of breast milk.
Rationale 2: This hormone does not aid in the production of breast milk.
Rationale 3: This hormone does not aid in the production of breast milk.
Rationale 4: The production of breast milk is triggered by the release of prolactin by the pituitary gland.
Global Rationale: The production of breast milk is triggered by the release of prolactin by the pituitary gland. FSH, epinephrine, and LH do not directly affect production of breast milk.
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A patient diagnosed with severe depression exhibits psychomotor retardation and a sense of worthlessness manifested in poor personal hygiene. The patient refuses to shower, stating, "I can't.". The nurse should:
a. not force the issue before a nurse-patient relationship has been established. b. matter-of-factly assist the patient to shower and dress in clean clothes. c. state that the patient will be required to shower the following morning. d. explain that others respond negatively to those with poor hygiene.
Graduates from an accredited nursing program are aware that to obtain a license to practice nursing in the United States they must:
a. complete 2 years of clinical practice in an approved hospital or community health care setting b. graduate from an accredited college or university program in nursing c. meet state eligibility requirements and apply for licensure d. pass the National Council Licensure Examination
The nurse validates the patient's response to an intervention prior to documenting in the progress note. What does validation ensure?
1. The patient's request is clarified. 2. The patient's affect is appropriate to the situation. 3. The patient's need for further intervention is understood. 4. The patient's perception of the response is communicated.
A patient is scheduled to have sublingual capnometry. How would the nurse explain the purpose of this test?
1. "This test will help us learn about the blood flow to your gastrointestinal organs." 2. "This test will monitor the acidity of your gastric acids." 3. "This test will determine if your pancreas is functioning." 4. "This test will help us determine if you have an infection in your gastrointestinal tract."