Successful breastfeeding is most dependent on which?
a. Birth weight of newborn
b. Size of mother's breasts
c. Mother's desire to breastfeed
d. Family's socioeconomic level
ANS: C
The factors that contribute to successful breastfeeding are the mother's desire to breastfeed, satisfaction with breastfeeding, and available support systems. Very low–birth-weight infants may be unable to breastfeed. The mother can express milk, and it can be used for the infant. The size of mother's breasts does not affect the success of breastfeeding. The family's socioeconomic level may affect the mother's need to return to work and available support systems, but with support, the mother can be successful.
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Which intervention would be a priority when providing care to a client recovering from thoracic injuries sustained from a motor vehicle crash?
A) Monitor urine output. B) Assess vital signs. C) Perform passive range of motion to all extremities. D) Assist to deep breath and cough every 2 hours.
The nurse is providing patient education to a patient on glucocorticoid therapy. Which statement made by the patient best demonstrates an accurate understanding of glucocorticoids?
a. "They promote carbohydrate, lipid, and protein metabolism." b. "They are produced in decreased amounts during times of stress." c. "They reduce the serum sodium and glucose levels." d. "They stimulate defense mechanisms to produce immunity."
The nurse is caring for a child after a parathyroidectomy. What medication should the nurse have available if hypocalcemia occurs?
a. Insulin b. Calcium gluconate c. Propylthiouracil (PTU) d. Cortisone (hydrocortisone)
The nurse notes that a 36-hour-old newborn's serum bilirubin level has increased from 14 mg/dl to 16.6 mg/dl in an 8-hour period. What nursing intervention would be included in the plan of care for this newborn?
1. Continue to observe. 2. Begin phototherapy. 3. Begin blood exchange transfusion. 4. Stop breastfeeding.