Question 1

Pumping breast milk in the workplace is protected by:&#10;A)The Family Medical Leave Act.&#10;B)Several Federal laws.&#10;C)One Federal law and many state laws.&#10;D)No Federal laws.

Accepted Answer

Pumping breast milk in the workplace is not protected by any Federal laws. Some employers are accommodating and others are not. A role for the lactation consultant in terms of public policy is advocacy. This would be an excellent area for lactation consultants to advocate for.

Question 2

When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following:&#10;A)Symmetrical gluteal folds&#10;B)Trendelemburg sign&#10;C)Ortolani's sign&#10;D)Characteristic limp

Accepted Answer

It is the abnormal clicking sound when the hips are abducted. The sound is produced when the femoral head enters the acetabulum. Letter A is wrong because it should be "asymmetrical gluteal fold". Letter B and C are not applicable for newborns because they are seen in older children.

Question 3

An IV solution of 10% glucose and mannitol are administered to an infant with Reye's syndrome. The client's vital signs should be monitored by the nurse to prevent the occurrence of:&#10;A)hypovolemic shock&#10;B)fluid volume excess&#10;C)heart failure&#10;D)seizure episodes.

Accepted Answer

The therapy causes diuresis therefore the infant should be monitored for excessive fluid loss. Options B and C are related to fluid gain. Any changes in vital signs are not indicative of impending seizure.

Question 4

A nurse is teaching a mother with a new baby about car seats. Which of the following, if stated by the client, indicates that further teaching is needed?&#10;A)&#34;Infant-only car seats are the most recommended type of car seats for infants.&#34;&#10;B)&#34;My child has to be in a car seat until she reaches 40 to 60 pounds.&#34;&#10;C)&#34;My child has to be placed in a car seat that is facing the rear in the back seat until she is about 20 lbs.&#34;&#10;D)&#34;My child has to be placed in a car seat until her sixth birthday&#34;

Accepted Answer

Generally, children have to be in car seats until they reach 40 to 60 pounds; this varies according to state law. The other options are appropriate.

Question 5

A mother asks the nurse how she can perform a breast self-examination if she's breastfeeding her baby. The nurse's best response is which of the following?&#10;A)&#34;Set an appointment with your physician to examine your breasts.&#34;&#10;B)&#34;The BSE for non-nursing and nursing mothers are exactly the same.&#34;&#10;C)&#34;You can examine each breast after the baby has emptied your breast.&#34;&#10;D)&#34;You can start checking your breasts once your menstrual period returns.&#34;

Accepted Answer

The nurse tells the mother to examine each breast after breastfeeding. Women should perform the BSE even though they are still nursing. Nursing women can examine their breasts on the same day of each month until the menstrual cycle returns.

Question 6

A nurse is teaching a group of pregnant clients about prenatal care. The nurse informs the group that of which of the following pregnant clients has the highest risk for toxoplasmosis?&#10;A)A pregnant client with low rubella titer&#10;B)A pregnant client who handles cat litter&#10;C)A pregnant client who consumes overcooked meats&#10;D)A pregnant client who drinks pasteurized milk

Accepted Answer

Toxoplasmosis is caused by Toxoplasma gondii, which commonly infects domesticated cats. It is found in cat feces, raw meat, unpasteurized dairy products, contaminated kitchen utensils, and unwashed fruits and vegetables.

Question 7

A nurse is teaching a new mother about breastfeeding. Which of the following statements, if made by the client, indicates that the mother needs further teaching?&#10;A)&#34;In about 2 weeks, my baby's weight should surpass her birth weight.&#34;&#10;B)&#34;My baby should have at least 4 wet diapers a day and at least 1 bowel movement per day.&#34;&#10;C)&#34;My baby should be fed every 2 to 3 hours during the day and every 4 hours at night.&#34;&#10;D)&#34;My baby should feed for around 20 minutes per breast.&#34;

Accepted Answer

The newborn should have at least 6 to 8 wet diapers a day and at least 1 to 2 bowel movements per day. This is to ensure that the newborn is adequately nourished. The other options are appropriate.

Question 8

The nurse provides discharge teaching to a postpartum client on how to care for her perineum at home. Which of the following statements, if made by the client, suggests that further teaching is necessary?

A)"I need to increase my fluid intake."
B)"Application of ice packs can relieve the swelling."
C)"I need to see my physician within 3 weeks to have my episiotomy stitches removed."
D)"I will use a peri-bottle to squirt the water on my perineum as I urinate."

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Accepted Answer

Episiotomy stitches are reabsorbed into the body. They do not need to be removed by the physician. The other options are ways to decrease the discomforts of episiotomy stitches.

Question 9

A nurse is assessing a client who gave birth 12 hours ago. On assessment, the nurse notes that the client's fundus is above the umbilicus to the right. Which of the following is the nurse's initial action?

A)Place the client on her left side
B)Massage the fundus
C)Ask the client to void
D)Notify the physician

Accepted Answer

A fundus above the umbilicus and to the right suggests a full bladder. The nurse should ask the client to void and then recheck the client. The other options are not appropriate.

Deck 2: Legal Protection for Breastfeeding in the Workplace