Which statements by a breastfeeding class participant indicate that teaching was effective?
1. "Breastfed infants get more skin-to-skin contact and sleep better."
2. "Breastfeeding raises the level of a hormone that makes me feel good."
3. "Breastfeeding is complex and difficult, and I probably won't succeed."
4. "Breastfeeding is worthwhile, even if it costs more overall."
5. "Breastfed infants have fewer digestive and respiratory illnesses."
Correct Answer: 1,2,5
Rationale 1: This is a true statement.
Rationale 2: Every time an infant suckles, the prolactin level doubles; prolactin creates feelings of euphoria and relaxation.
Rationale 3: Although there is skill involved in getting a baby to nurse successfully and coordinating the infant's efforts with the maternal efforts, breastfeeding is not perceived as difficult by the majority of women who attempt to do so.
Rationale 4: Breastfeeding actually costs substantially less than formula feeding, even considering the need for increased calcium and protein intake during lactation.
Rationale 5: This is a true statement. Reduced infections are due to immunologic properties in breast milk and to the fact that breastfed infants are not put to bed with a bottle, a practice known to increase ear infections.
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The nurse is doing discharge teaching with the parents of a newly diagnosed type I diabetic. The nurse knows that the mother needs more teaching when she states:
1. "I will give my child insulin if she experiences shakiness, pallor, and sweating." 2. "I will give my child a snack before she practices afterschool soccer." 3. "I will bring my child to the doctor every three months to have her HbA1c checked." 4. "I understand my child might be experiencing hyperglycemia if she has thirst and flushed skin."
The nurse caring for a client finds the client uncommunicative about recent life events. The nurse
suspects marital and perhaps economic problems exist. The social worker's intake note has been dictated, but not typed, and is placed in the medical record. The most effective action the nurse could take is to a. focus questions on these two topics. b. ask the client who shares a room with this client. c. try to work around the lack of pertinent information. d. look at axis IV of the DSM-IV-TR in the medical record.
Which of the following statements explains why it can be difficult to assess a child's dietary intake?
a. Recall of food consumption is frequently unreliable. b. Families usually do not understand much about nutrition. c. The child must be hospitalized to obtain an accurate dietary intake. d. No systematic assessment tool has been developed.
The chest tube drainage system of the client 36 hours after a pneumonectomy has continuous bubbling in the water seal chamber (chamber 2). When you clamp the chest tube close to the client's dressing, the bubbling stops
What is your interpretation of this finding? A. An air leak is present at the chest tube insertion site or in the thoracic cavity. B. An air leak is present somewhere in the drainage system. C. The suction pressure applied to the system is too high. D. The suction pressure applied to the system is too low.