Question 1

The nurse is preparing an educational program for new parents. In which order should the nurse provide the Purple Crying information?

Accepted Answer

The PURPLE Crying program is an educational tool for parents to understand normal infant crying patterns. The acronym stands for: Peak of crying, Unexpected, Resists soothing, Pain-like face, Long lasting, and Evening and late afternoon.

Question 2

The postpartum nurse is performing a home care visit to a first-time mother on her third day after delivery. She reports that her nipples are becoming sore. What statement indicates that further teaching is needed?

Accepted Answer

The statement "My nipples will heal if I switch to bottle feeding for about 3 days while I pump my breasts" indicates a misunderstanding. Switching to bottle feeding can lead to nipple confusion for the baby and potentially decrease the mother's milk supply. It's important to address the cause of nipple soreness, such as improving the baby's latch, rather than switching to bottle feeding.

Question 3

The postpartum home care nurse has performed home visits to four breastfeeding mothers. Which mother is experiencing an expected outcome?

Accepted Answer

Using cabbage leaves is a common and effective home remedy for relieving breast engorgement, which is a normal occurrence in breastfeeding mothers.

Question 4

The nurse is making an initial visit to a postpartum family's home. The mother states that she is having difficulty with breastfeeding. Which resource should the nurse tell the family about?

Accepted Answer

The lactation consultant at the hospital is the most appropriate resource for a mother having difficulty with breastfeeding, as they specialize in breastfeeding support and can provide personalized advice and assistance.

Question 5

The nurse is instructing a new mother on basic infant care. For which activities should the nurse suggest that the mother use the following infant hold?

Accepted Answer

The answer of The nurse is instructing a new mother...

Question 6

The nurse is reviewing the process of applying a pre-folded diaper with a new mother. In which order should the nurse provide these instructions?

Accepted Answer

The answer of The nurse is reviewing the process of...

Question 7

A new mother at 36 hours post-delivery has asked to be discharged to home. The nurse explains that criteria for discharge before the newborn is 48 hours old include which of the following?

Accepted Answer

D  A respiratory rate of less than 60/min is a criterion for discharge, indicating normal respiratory function. Additionally, stable vital signs for 24 hours before discharge ensure the newborn's overall stability and readiness for home care.

Question 8

The nurse is preparing teaching material for a new mother. For which activity should the nurse provide the following diagram?

Accepted Answer

The answer of The nurse is preparing teaching material for...

Question 9

Before a newborn and mother are discharged from the hospital, the nurse informs the parents about routine screening tests for newborns. What is a good reason for having the screening tests done?

Accepted Answer

The primary reason for newborn screening tests is to detect disorders that can lead to serious health problems, including physical, intellectual, and developmental complications or even death if not identified and treated early. These tests do not prevent the disorders but allow for early intervention to manage them.

Question 10

The postpartum client has chosen to bottle-feed her infant. Nursing actions that aid in lactation suppression include which of the following?

Accepted Answer

Ice packs to each breast help in lactation suppression by reducing swelling and discomfort associated with engorgement, thereby signaling the body to decrease milk production. Warm showers, pumping milk, and avoiding wearing a bra can actually stimulate milk production or increase discomfort, which is not conducive to lactation suppression.

Question 11

A breastfeeding postpartum client reports sore nipples to the nurse during a home visit. What intervention would be the highest priority?

Accepted Answer

Correct infant positioning is crucial for effective breastfeeding and can help prevent sore nipples, making it the highest priority intervention. Incorrect positioning can lead to improper latching, which is a common cause of nipple soreness.

Quiz 34: Home Care of the Postpartum Family