Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following statements by the client indicates a need for further teaching?.
A. "I should crush cabbage leaves and place them on my breasts.”. .
Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.
B. "I should apply hot packs to my breasts during feeding.”. .
Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.
C. "I will apply ice packs to my breasts after feeding.”. .
Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.
D. "I will breastfeed every 2 hours.”.
Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice B.
Choice A rationale:
Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.
Choice B rationale:
Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.
Choice C rationale:
Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.
Choice D rationale:
Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.
Similar Questions
What should the nurse expect for a full-term newborn's weight during the first few days of life?.
A. There is a loss of 5% to 10% of the birth weight in the first few days in breastfed infants only.
While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.
B. There is an increase in 3% to 5% of birth weight by day 3 in formula-fed babies.
Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.
C. There is a loss of 5% to 10% of birth weight in formula-fed and breastfed newborns.
Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.
D. A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%.
While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.
Full Explanation
The correct answer is choice C.
Choice A rationale:
While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.
Choice B rationale:
Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.
Choice C rationale:
Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.
Choice D rationale:
While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.
In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?.
A. Vitamin K.
Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.
B. Erythromycin ophthalmic ointment.
Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.
C. Gentamicin ophthalmic ointment.
Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.
D. Silver nitrate solution.
Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.
Full Explanation
The correct answer is choice B.
Choice A rationale:
Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.
Choice B rationale:
Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.
Choice C rationale:
Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.
Choice D rationale:
Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.
A woman gives birth to a small infant with a malformed skull.
The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits.
The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.
What might you expect to find in the mother's pregnancy history?.
A. Active herpes simplex infection.
Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.
B. Chronic cocaine use.
Chronic cocaine use during pregnancy can lead to premature birth and low birth weight, but it does not typically result in the specific symptoms described.
C. Folic acid deficiency.
Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.
D. Chronic alcohol use.
Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.
Full Explanation
The correct answer is choice D. Chronic alcohol use.
Choice A rationale:
Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.
Choice B rationale:
Chronic cocaine use during pregnancy can lead to premature birth and low birth weight, but it does not typically result in the specific symptoms described.
Choice C rationale:
Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.
Choice D rationale:
Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.