During the examination of a woman in her second trimester of pregnancy, the nurse notices the presence of a small amount of yellow drainage from the nipples. The nurse knows that this is:
a. An indication that the woman's milk is coming in.
b. A sign of possible breast cancer in a pregnant woman.
c. Most likely colostrum and considered a normal finding at this stage of the pregnancy.
d. Too early in the pregnancy for lactation to begin and refers the woman to a specialist.
ANS: C
During the second trimester, colostrum, the precursor of milk, may be expressed from the nipples. Colostrum is yellow and contains more minerals and protein but less sugar and fat than mature milk. The other options are incorrect.
You might also like to view...
The nurse is caring for a patient with newly diagnosed multiple sclerosis (MS). The patient asks why MS is called an autoimmune disease. What is the nurse's best response?
A) The body attacks its own cells because it responds to specific self-antigens to produce antibodies. B) A result of response to a cell that was invaded by bacteria, leading to antibody production to similar cells. C) Production of autoantibodies is a normal process that goes on all the time, but immunosuppression limits B-cell response. D) People with multiple sclerosis have a genetic predisposition to destroy autoantibodies.
The nurse is teaching a client about the need to take the flu and pneumococcal vaccines. The client states he is too old and there is little reason to waste the solutions. Which response by the nurse is most therapeutic at this time?
A) "You are likely to get this disease if you do not take the vaccines." B) "I will report your concerns to the physician." C) "It is never too late in life to begin health promotion activities." D) "I understand your feelings."
The knee-chest position is used to examine the:
a. Rectum b. Abdomen c. Chest d. Breasts
A toddler is brought to the well-child community clinic by her grandmother. The health history reveals recurrent nausea, vomiting, and diarrhea
Her physical exam reveals a negligible gain in height and weight, lethargy, and a delay in achieving milestones. As a result of the child's delays, multiple disciplines would likely be involved in caring for the child. Which of the following represents the most effective role the nurse would play in caring for the child? a. Coordinator b. Teacher c. Counselor d. Advocate