A nurse is teaching a class on breastfeeding to expectant parents. Which are contraindications for breastfeeding? (Select all that apply.)
a. Human immunodeficiency virus (HIV) in mother
b. Mastitis
c. Inverted nipples
d. Maternal cancer therapy
e. Twin births
ANS: A, D
HIV in the mother and maternal cancer therapy place the newborn at risk. HIV can be transmitted through breast milk, as can be the metabolites of chemotherapy. Mastitis, inverted nipples, and twin births are not contraindications.
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How does the ventilator function of positive end-expiratory pressure assist the patient?
a. Keeps pressure in the lungs after expira-tion b. Delivers 100% oxygen on inspiration c. Allows the patient to control expiratory pressure d. Delivers an inhalant medication under positive pressure
A soldier returned home last year after deployment to a war zone
The soldier's spouse reports, "We had planned to start a family right away, but now he won't talk about it. He won't even look at children. I wonder if we're going to make it as a couple." Select the nurse's best response. a. "PTSD often changes a person's sexual functioning." b. "I encourage you to continue to participate in social activities where children are present." c. "Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior." d. "PTSD often strains relationships. Here are some community resources for help."
Florence Nightingale is known for which of the following? Select all that apply
a. She promoted holistic health. b. She directed nurses to assure patients had clean water, sanitation, clean air, and good ventilation. c. She was a pioneer in using evaluative statistics to monitor various factors influencing health. d. She crafted the standards of Western secular nursing education and practice. e. She was the first occupational health nurse.
Which clinical manifestation would be the most suggestive of acute appendicitis?
a. Rebound tenderness b. Bright red or dark red rectal bleeding c. Abdominal pain that is relieved by eating d. Abdominal pain that is most intense at McBurney point