The nurse is working with a new mother who delivered yesterday. The mother has chosen to breastfeed her infant. Which demonstration of skill is the best indicator that the client understands breastfeeding?
1. She puts the infant to breast when he is asleep to help wake him up.
2. She takes off her gown to achieve skin-to-skin contact.
3. She leans toward the infant so that he turns his head to access the nipple.
4. The infant is crying when he is brought to the breast.
2
Explanation: 2. Skin-to-skin contact after birth helps the baby maintain his or her body temperature, helps with self-regulation, increases maternal oxytocin levels, helps the mother to notice subtle feeding cues, and promotes bonding.
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The nurse is planning interventions to prevent the onset of urinary retention in a postpartum patient. Why are these interventions needed?
A) Frequent partial voiding never relieves the bladder pressure. B) Catheterization at the time of delivery reduces bladder tonicity. C) Mild dehydration causes a concentrated urine volume in the bladder. D) Decreased bladder sensation results from edema because of pressure of birth.
Reading in the client record that a female client has undergone type II excision of the genitalia, the nurse would understand that there has been excision of the
a. clitoris and labia minora. b. clitoris only. c. entire vulva. d. labia minora and labia majora.
A client was recently diagnosed with Parkinson's disease and the family is concerned about what this may mean for them and their loved one. The nursing student knows that helping this family adjust to the client's illness:
A) Is doing your job. B) Decreases the client's stress. C) Normalizes the family's experience. D) Teaches the client communication skills.
A condition that results from an accident or illness is known as a(n):
a. inherited disability. b. congenital disability. c. acquired disability. d. nosocomial disability.