Free NCLEX-RN Exam Braindumps (page: 89)

Page 89 of 431

A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:

  1. Gently pull the infant away
  2. Withdraw the breast from the infant's mouth
  3. Compress the areolar tissue until the infant drops the nipple from her mouth
  4. Insert a clean finger into the baby's mouth beside the nipple

Answer(s): D

Explanation:

(A) In pulling the infant away from the breast without breaking suction, nipple trauma is likely to occur. (B) In pulling the breast away from the infant without breaking suction, nipple trauma is likely to occur. (C) Compressing the maternal tissue does not break the suction of the infant on the breast and can cause nipple trauma. (D) By inserting a finger into the infant's mouth beside the nipple, the lactating mother can break the suction and the nipple can be removed without trauma.



A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:

  1. Gently pull the infant away
  2. Withdraw the breast from the infant's mouth
  3. Compress the areolar tissue until the infant drops the nipple from her mouth
  4. Insert a clean finger into the baby's mouth beside the nipple

Answer(s): D

Explanation:

(A) In pulling the infant away from the breast without breaking suction, nipple trauma is likely to occur. (B) In pulling the breast away from the infant without breaking suction, nipple trauma is likely to occur. (C) Compressing the maternal tissue does not break the suction of the infant on the breast and can cause nipple trauma. (D) By inserting a finger into the infant's mouth beside the nipple, the lactating mother can break the suction and the nipple can be removed without trauma.



In assessing the nature of the stool of a client who has cystic fibrosis, what would the nurse expect to see?

  1. Clay-colored stools
  2. Steatorrhea stools
  3. Dark brown stools
  4. Blood-tinged stools

Answer(s): B

Explanation:

(A) Clay-colored stools indicate dysfunction of the liver or biliary tract. (B) In the early stages of cystic fibrosis, fat absorption is primarily affected resulting in fat, foul, frothy, bulky stools. (C) Dark brown stools indicate normal passage through the colon. (D) Blood-tinged stools indicate dysfunction of the gastrointestinal (GI) tract.



In assessing the nature of the stool of a client who has cystic fibrosis, what would the nurse expect to see?

  1. Clay-colored stools
  2. Steatorrhea stools
  3. Dark brown stools
  4. Blood-tinged stools

Answer(s): B

Explanation:

(A) Clay-colored stools indicate dysfunction of the liver or biliary tract. (B) In the early stages of cystic fibrosis, fat absorption is primarily affected resulting in fat, foul, frothy, bulky stools. (C) Dark brown stools indicate normal passage through the colon. (D) Blood-tinged stools indicate dysfunction of the gastrointestinal (GI) tract.



Page 89 of 431



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