A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth
The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the: a. Transition period.
b. First period of reactivity.
c. Organizational stage.
d. Second period of reactivity.
B
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A The transition period is the phase between intrauterine and extrauterine existence.
B The first period of reactivity is the first phase of transition and lasts up to 30 minutes after birth. The infant is highly alert during this phase.
C There is no such phase.
D The second period of reactivity occurs roughly between 4 and 8 hours after birth, after a period of prolonged sleep.
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The nurse knows that which of the following complications listed below are a result of being diagnosed with septic shock and therefore should be assessed frequently? Select all that apply. A) Profound dyspnea due to acute respiratory distress syndrome B) Atelectasis resulting in injury to endothelial lining of pulmonary vessels, which allows fluid/plasma to build up in alveolar spaces C) Formation of plaque within vessels supplying blood to the heart causing muscle damage and chest pain D) Acute renal failure due to decreased/impaired renal perfusion as a result of low BP E) Flushed skin and pounding headache that coincides with each heart beat
A client is admitted to the intensive care unit with severe dyspnea, fear, noisy respirations, sweating, and tachypnea. The nurse would recognize that the client is exhibiting manifestations of
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Which of the following clients is most at risk for gastroesophageal influx?
A. A client who drinks decaffeinated beverages B. A client who is underweight. C. A client taking oral hypoglycemic agents D. A client who has a nasogastric tube
A nurse counsels a parent regarding antipyretic choices for an 8-year-old with influenza. When asked why aspirin should be avoided, the nurse's best explanation is that aspirin:
1. is not as good an antipyretic as acetaminophen. 2. may increase fever in children under the age of 10. 3. may produce nausea and vomiting. 4. increases the risk of Reye's syndrome.