A new mother is questioning the nurse about the advantages of breastfeeding her newborn
Which information should the nurse include in the teaching session? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Breast milk has immunological advantages, including varying degrees of protection from respiratory tract and gastrointestinal tract infections.
2. Breastfeeding has been shown to increase maternal–infant attachment.
3. Breastfeeding can be initially supplemented with bottle feedings so that the father does not feel left out of the infant's care.
4. Breastfeeding often causes nipple tenderness, and may be discouraged until healing occurs.
5. Breastfeeding provides a psychologic advantage to the mother, who derives satisfaction knowing that she is providing her infant with the optimal nutritional start in life.
1,2,5
Rationale 1: The transplacental passage of maternal immunoglobulin gradually diminishes over the first 6 months of life until the infant can begin to produce her own immunoglobulins.
Rationale 2: The psychosocial advantages of breastfeeding are primarily associated with maternal–infant attachment.
Rationale 3: The parents should be informed that it is advisable for the father to wait to bottle-feed the baby with expressed breast milk until after breastfeeding is established.
Rationale 4: Breastfeeding with proper technique should not hurt, and these mothers should be encouraged to seek assistance from a person knowledgeable about lactation. There is no need to stop breastfeeding.
Rationale 5: The mother's sense of accomplishment in being able to satisfy her baby's needs for nourishment and comfort can be a tremendous source of personal satisfaction.
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The nurse determines that a patient has a knowledge deficit regarding her diagnosis of achalasia. The nurse begins patient teaching by explaining that achalasia is
a. a white patch on the mouth or tongue mucosa. b. caused by frequent ulceration on the lip. c. caused by excess exposure to sun and wind. d. caused by the inability of a muscle to relax.
A patient receiving a prostacyclin agent and an endothelin-receptor antagonist for treatment of pulmonary artery hypertension (PAH) has an international normalized ratio (INR) of 1.9. What is your best action?
a. Document the INR level as the only action. b. Hold the next dose of the drugs and notify the prescriber. c. Ask the patient whether he or she has lost more than 3 lb this week. d. Inspect the infusion site for any other indications of inflammation or infection.
One of your patients is not responding to curative treatment. Implementing which of the following would be most appropriate at this time?
a. Hospice care c. Terminal care b. Palliative care d. Respite care
Which of the following drugs and drug categories can cause multiple fetal central nervous system (CNS), facial, and cardiovascular anomalies?
1. Category C: Zidovudine 2. Category B: Penicillin 3. Category X: Isotretinoin 4. Category A: Vitamin C