Question 1

What treatment, or intervention, is effective for postnatal depression?&#10;A)Calling &#34;Depression After Delivery.&#34;&#10;B)Taking St John's wort.&#10;C)Drinking caffeine to combat fatigue.&#10;D)Stopping breastfeeding for 2 weeks.

Accepted Answer

Calling "Depression After Delivery" can be very helpful to new mothers experiencing postnatal depression. This organization can refer new mothers to a support group in their close geographic community. Caffeine and sugars worsen symptoms and, despite the fact that the herb St. John's wort is useful for depression, it should not be used by nursing mothers because it is not deemed as safe. Zoloft, on the other hand, is deemed safe for nursing mothers. Lastly, this depression is not a reason to stop breastfeeding.

Question 2

A mother of a newborn is asking about the Guthrie test. Which of the following responses made by the nurse is the least accurate?&#10;A)This test determines the presence of enzymes that process phenylalanine in the blood.&#10;B)A high level of phenylalanine is clinically significant.&#10;C)The infant must have taken milk before blood is extracted.&#10;D)The test is done every year to track the progress of disease.

Accepted Answer

The PKU test or Guthrie test is done within a few days after birth, usually within 2-3 days. PKU is a metabolic disorder that results in the inability to process phenylalanine, a type of protein. If phenylalanine accumulates in the blood, mental retardation could occur. An abnormally high level of phenylalanine is clinically significant. The test is done by taking blood from the heel. The test is repeated within 7-10 days. Urine testing is done if newborn testing was not done and the child is older than six weeks of age.

Question 3

A nurse is caring for a client at 28 weeks gestation. The results of the laboratory examinations reveal that both the woman and the baby's father are negative for Rh factor. An indirect Coombs test is negative. The nurse should expect which of the following actions?

A)Document the findings; RhoGAM is not administered
B)Assessment of maternal serum for alpha-fetoprotein
C)Amniocentesis fluid is aspirated
D)Administration of Rho immune globulin (RhoGAM)

Document the findings; RhoGAM is not administered

Accepted Answer

RhoGAM is administered at 26 to 28 weeks to an unsensitized Rh-negative mother. RhoGAM is also given within 72 hours after delivery, as the antibodies begin to form immediately after birth. If an Rh-positive child is born to an Rh-negative mother, the RhoGAM must be given in a timely manner. If not, the mother's body will make antibodies against subsequent Rh-positive fetuses, causing anemia, brain damage and death.

Question 4

A pregnant woman at 28 weeks gestation finds out that she is infected with human immunodeficiency virus. The nurse informs the mother that which of the following does not put the baby at risk for HIV infection?

A)Changing diapers
B)Breastfeeding
C)Vaginal birth
D)Being born to an HIV-positive mother, even with a Cesarean birth

Accepted Answer

HIV is transmitted by direct contact to contaminated bodily fluids, including vaginal secretions, blood, and breast milk. Changing diapers does not transmit the virus.

Question 5

A nurse is teaching a pregnant client at 32 weeks gestation with human immunodeficiency virus about breastfeeding. The nurse includes which information during teaching?&#10;A)The infant will not be breast-fed.&#10;B)The infant will be breast-fed for the first 2 months and switched to bottle-feeding thereafter.&#10;C)The infant will be breast-fed for the first 6 months.&#10;D)The infant will be breast-fed for the first 3 months and switched to bottle-feeding thereafter.

Accepted Answer

Mothers with HIV are advised not to breastfeed their infants. HIV transmission is possible through breastfeeding.

Deck 6: Breastfeeding Education for a Pregnant Client With HIV