Late in pregnancy, the woman's breasts should be assessed by the nurse to identify any potential concerns related to breast-feeding. Some nipple conditions make it necessary to provide intervention before birth
These include which of the following? Select all that apply. a. Everted nipples
b. Flat nipples
c. Inverted nipples
d. Nipples that contract when compressed
e. Cracked nipples
B, C, D
Correct: B, C, D. Flat nipples appear soft, like the areola, and do not stand erect unless sti-mulated by rolling them between the fingers. Inverted nipples are retracted into the breast tissue. These nipples appear normal; however, they will draw inward when the areola is compressed by the infant's mouth. Dome-shaped devices known as breast shells can be worn during the last weeks of pregnancy and between feedings after birth. The shells are placed inside the bra with the opening over the nipple. The shells exert slight pressure against the areola to help the nipples protrude. The helpfulness of breast shells is debated. A breast pump can be used to draw the nipples out before feedings after delivery.
Incorrect: A, E. Everted nipples protrude and are normal. No intervention will be required. Cracked, blistered, and bleeding nipples occur after breast-feeding has been initiated and are the result of improper latch. The infant should be repositioned during feeding. Application of colostrum and breast milk after feedings will aid in healing.
You might also like to view...
During his psychiatric clinical placement as a nursing student, David has been surprised by the intensity of emotion that he feels when interacting with a client who has been hospitalized with depression
He attributes this to the fact that his own father struggled with depression for many years and ultimately committed suicide when David was in his teens. How should David's clinical instructor understand these events? A) Recognizing the relationship between David's family history and his present feelings indicates self-awareness. B) David is at risk of dealing with his depressed client in a prejudiced or judgmental way because of his history. C) David is failing to carry himself in an open-minded way in his clinical interactions, and it is tainting the care he provides. D) There is a high risk that David will himself become depressed because of the combination of family history and present exposure to the illness.
A family shared their concerns, including sexual issues, in strictest confidence with a faith community nurse. When the nurse returned to the church office, the pastor asked why the family wanted to see her
Which of the following statements would be the best response by the nurse? a. "Because you are my supervisor, I will summarize what was said for you." b. "I will include that information in my report to our church's wellness committee." c. "They just wanted me to assess their health needs and make some suggestions." d. "The family had some issues they wanted to discuss in confidence, which I will keep in confidence."
The nurse is caring for a client with multisystem organ failure. Which client assessment findings are under the control of the sympathetic nervous system?
Standard Text: Select all that apply. 1. Blood glucose level 210 mg/dL 2. Blood pressure 180/90 mmHg 3. Total cholesterol level 300 mg/dL 4. Respiratory rate 14 and regular 5. Hyperactive bowel sounds
What is the rule for analyzing evaluation data?
A. Before making any recommendations, interpretation and judgment are necessary. B. Following historical precedent of the agency in its use of evaluation data is the wisest approach. C. Review the literature and try to be consistent with what others in community health are doing. D. The nurse should use the Omaha System because it is the most helpful and most commonly used system.