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The nurse caring for the breastfeeding mother should help the woman achieve independence and success in her feeding efforts. Mrs. Sheridan asks you about the proper positioning in breastfeeding, and your answer will be:
- "Direct the nipple straight into the baby's mouth.
- "Turn the baby's entire body toward yours and assist the baby in taking the whole nipple in his mouth."
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- As the nurse working on a postpartum unit, you are caring for John and Janah, who have just become parents of a 7 lb and 2 oz baby boy. As you prepare them for discharge, you notice that they seem overwhelmed with much of the information being provided. Janah says, “ Maybe my breasts are too small and the baby can’t get enough milk.” She added, “I am hoping that if I breastfeed, I won’t have to worry about birth control for a while.” GUIDE QUESTIONS: The couple needs health teaching in a number of areas. Which subject would you begin with? Why? Explain how breastfeeding can prevent pregnancy? How can you best explain this to the couple?A breastfeeding client asks the nurse to make sure that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched? 1. The baby swallows after every suckle. 2. The baby’s body is facing the mother’s body. 3. The baby’s lower lip is curled under. 4. The baby is lying at the level of the mother’s breasts.On performing Leopold's maneuver to Mrs. Vanessa Narciso a multiparous client in labor. Nurse Marina finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. Nurse Marina notifies the obstetrician. Which of the following is safe to assume? Footling breech Occiput presentation Compound presentation Transverse lie
- On performing Leopold’s maneuver on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. The nurse notifies the obstetrician. Which of the following is safe to assume? - Footling breech - Occiput presentation- Transverse lie- Compound presentationA pregnant woman is discussing positioning and the use of leg stirrups for delivery with a labor nurse. Which of the following client responses indicates that the client understood the information? Select all that apply. 1. When the client states, “I am glad that deliveries can take place in a variety of places, including a Jacuzzi bathtub.” 2. When the client says, “I heard that for doctors to deliver babies safely, it is essential to have the mother’s legs up in stirrups.” 3. When the client states, “l understand that if the fetus needs to turn during labor, | may end up delivering the baby on my hands and knees.” 4. When the client says, “During difficult deliveries it is sometimes necessary to put a woman'’s legs up in stirrups.” 5. When the client states, “I heard that midwives often deliver their patients either in the side-lying or squatting position.”Mr. and Mrs. Smith have arrived for their first fertility appointment after trying unsuccessfully to get pregnant for the past year. Mrs. Smith is withdrawn, her voice is monotone, and she becomes tearful when the nurse begins to take a health history. Mr. Smith hugs her and holds her hand, but Mrs. Smith doesn't seem to notice. What is the best nursing action to take at this time? O Get a box of tissues and encourage Mrs. Smith to discuss what she's feeling. O Ask Mr. Smith to leave the room and ask Mrs. Smith if she feels safe at home and how long she's been abused. O Tell Mrs. Smith she's being silly; the clinic will make everything better. O Continue taking the history; this is just part of the job.
- Before performing Leopold's maneuvers, the nurse explains to the pregnant patient, what she will be doing. The nurse states the primary purpose of this assessment is to: a. Determined the length of the fetus b. Locate the head of the fetus c. Determine the station of the fetus d. Estimate the length of laborCase Scenario As the nurse working on a postpartum unit, you are caring for Mark and Mara, who have just become parents of n 7 lb and 2 oz baby boy. As you prepare them for discharge, you notice that they seem overwhelmed with much of information being provided. Mara says, “ Maybe my breast are too small and the baby can’t get enough milk.” She added, “I am hoping that if I breastfeed, I won’t have to worry about birth control for a while.” GUIDE QUESTIONS: The couple needs health teaching in a number of areas. Which subject would you begin with? Why?Explain how can breastfeeding prevent pregnancy? How can you best explain this to the couple?Alice, a 42-year-old woman, gave birth to a baby girl at 10:02 pm. She was in labor for about 12 hours. She had an epidural placed at 6:40 pm. She was 10 cm dilated and 100% effaced at 9 pm and started pushing around 9:30 pm. The provided was called and within minutes of the doctor's arrival the baby was born. The baby girl was born at 10:12 pm after about 50 minutes of pushing. For your one-minute assessment: the infant has blue extremities, a HR 90, her arms and legs are flexed, her tone is poor, and she is not crying. Alice becomes very anxious and wants to know why the baby is not crying. What is the APGAR at 1 minute? What are your priority nursing interventions? 1. 2. 3. At 5 minutes she continues to have blue extremities, the HR is now over 100, her arms and legs are flexed, her tone is good, and she now has a good cry. What is the 5-minute APGAR score? While you are completing your assessment of the infant Alice delivers the placenta. It is delivered 15 minutes after the…
- The nurse is preparing to assist in performing Leopold Maneuvers on a pregnant clientWhat are two ) actions that must be performed prior to this procedureSam and Regina are new parents and want to do the best thing for their baby. Sam says they should put their baby on a low-fat diet right from the beginning. What advice would you give these new parents? 1) They are correct and the baby should eat no more than 35% of his or her calories. 2) They are correct and the baby should only drink skim milk as a beverage. 3) They are incorrect; from birth to 2 years of age, a child's fat consumption should not be restricted for proper development. 4) The healthiest diet for everyone is a vegan diet.The client arrives at the hospital and is admitted to the feto-maternal unit for labor monitoring. The client informs the nurse that she was admitted to the unit 3 days ago but that turned out to be a false labor. The nurse examines the client obtaining the vital signs. When is the most appropriate time to take the client’s vital signs? a. With the client positioned on her left side, between contractions b. With the client positioned on her right side, at the peak of a contraction c. With the client positioned on her left side, at the peak of contraction d. With the client positioned on her right side, between contractions