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A nurse is reinforcing discharge teaching about breastfeeding with a client. Which of the following statements by the client indicates an understanding of the teaching?

A.

I should breastfeed my baby at least six times per day.

B.

I should keep my baby on a strict breastfeeding schedule.

C.

I should feed my baby for 30 minutes during each feeding.

D.

I should hold my baby just below the level of my breast.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Breastfeeding at least six times per day is too infrequent for a newborn. Newborns typically need to feed more frequently, approximately 8-12 times in 24 hours, to establish a good milk supply and ensure adequate nutrition.

 

Choice B rationale

 

Keeping a baby on a strict breastfeeding schedule is not recommended. Feeding should be on demand, based on the baby's hunger cues, to promote effective breastfeeding and milk production.

 

Choice C rationale

 

Feeding the baby for 30 minutes during each feeding is correct. This duration allows adequate time for the baby to receive both foremilk and hindmilk, which is essential for nutrition and satiety.

 

Choice D rationale

 

Holding the baby just below the level of the breast is incorrect. The baby should be held at breast level to facilitate proper latch and comfortable feeding for both mother and baby. .

 


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Correct Answer is C

Explanation

Choice A rationale

Maternal age of 21 years is not considered a significant risk factor for gestational diabetes. Typically, advanced maternal age (35 years or older) is considered a risk factor due to changes in insulin resistance that occur with age.

Choice B rationale

A fasting blood glucose of 72 mg/dL is within the normal range and does not indicate a risk for gestational diabetes. Gestational diabetes is usually diagnosed with fasting blood glucose levels higher than 95 mg/dL.

Choice C rationale

Previous newborn weighing 4.8 kg is a significant risk factor for gestational diabetes. Having a macrosomic (large) baby in a previous pregnancy is linked with an increased risk of developing gestational diabetes in subsequent pregnancies.

Choice D rationale

A prepregnancy BMI of 23 is within the normal range (18.5-24.9) and does not increase the risk of gestational diabetes. Higher BMI levels, particularly above 25, are associated with an increased risk.

Correct Answer is D

Explanation

Choice A rationale

Lecithin/sphingomyelin (L/S) ratio does not indicate genetic disorders; it's used to assess fetal lung maturity.

Choice B rationale

The test does not determine placental function. It specifically evaluates fetal lung maturity through the ratio of lecithin to sphingomyelin in amniotic fluid.

Choice C rationale

The test is not used to assess the risk of Rh incompatibility. The L/S ratio focuses on lung development rather than blood compatibility issues.

Choice D rationale

The L/S ratio assesses the baby's lung maturity, indicating if the lungs produce enough surfactant for proper function after birth.

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