A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing interventions should include:
a. giving medication to suppress lactation.
b. encouraging and helping mother to breastfeed.
c. teaching mother to feed breast milk by gavage.
d. recommending use of a breast pump to maintain lactation until infant can suck.
ANS: B
The mother who wishes to breastfeed may need encouragement and support because the defect does present some logistical issues. The nipple must be positioned and stabilized well back in the infant's oral cavity so that the tongue action facilitates milk expression. Because breastfeeding is an option, if the mother wishes to breastfeed, medications should not be given to suppress lactation. Because breastfeeding can usually be accomplished, gavage feedings are not indicated. The suction required to stimulate milk, absent initially, may be useful before nursing to stimulate the let-down reflex.
You might also like to view...
The RN may delegate to LPNs/LVNs a variety of data-collecting tasks, including: Standard Text: Select all that apply
1. The focused assessment at the beginning of the shift. 2. The focused assessment at the end of the shift. 3. The focused assessment of a body part in relation to client complaints. 4. Specific assessment of the nursing intervention provided. 5. Determination of nursing diagnosis related to assessment data.
When working with families, which of the following would be most important for the community health nurse to do first?
A) Adapt interventions to the family's stage of development. B) Begin at the family's level of functioning. C) Recognize the variations in family structures. D) Focus on the individual members of the family.
A nurse preceptor asks a new graduate to identify the three phases of the first stage of labor. Which response by the new graduate would indicate that further teaching is needed? (Select all that apply.)
a. Dormant d. Reversal b. Latent e. Transition c. Active f. Termination
The main symptom that alerts a person to the presence of benign prostatic hyperplasia (BPH) is:
a. difficulty voiding. b. hematuria. c. pain in scrotum. d. pain on voiding.