The nurse is preparing a class on breastfeeding for pregnant ...

[Kthamas]

The nurse is preparing a class on breastfeeding for pregnant women in their first trimester. The women are from a variety of cultural backgrounds, and all speak English well. Which statement should the nurse include in this presentation?
 
  1. Although some cultures believe colostrum is not good for the baby, it provides protection from infections and helps the digestive system to function.
  2. Some women are uncomfortable with exposing their breasts to nurse their infant, but it really isn't a big deal. You will get used to it.
  3. No religion prescribes a feeding method, so you all can choose whatever method makes the most sense to you.
  4. Many cultures consider skinny babies to be healthier than chubby babies. Breastfeeding is best for those people.

Question 2

The student nurse is to perform Leopold's maneuvers on a laboring client. Which assessment requires intervention by the staff nurse?
 
  1. The patient is assisted into supine position, and the position of the fetus is assessed.
  2. The upper portion of the uterus is palpated, then the middle section.
  3. After determining where the back is located, the cervix is assessed.
  4. Following voiding, the patient's abdomen is palpated from top to bottom.

[reelove4eva]

Answer to Question 1

1
Rationale 1: Although it is true that some cultures believe colostrum to be unhealthy, colostrum contains immune-boosting properties and helps establish normal digestive tract function.
Rationale 2: It is not therapeutic to downplay a woman's concern by stating, It's no big deal; this type of statement should be avoided.
Rationale 3: Women of the Muslim faith are encouraged by the Qur'an to breastfeed for 2 years.
Rationale 4: Many cultures consider chubby babies to be healthier than skinny babies. Breastfed babies gain weight faster and therefore appear healthier from this cultural perspective.

Answer to Question 2

3
Rationale 1: Determination of fetal position and station is the point of Leopold's maneuvers. The patient is supine to facilitate uterine palpation.
Rationale 2: This is correct order of the first and second Leopold's maneuvers.
Rationale 3: The cervical exam is not part of Leopold's maneuvers. Abdominal palpation is the only technique used for Leopold's maneuvers.
Rationale 4: The patient is instructed to void prior to beginning Leopold's maneuvers to enhance comfort. Leopold's maneuvers are essentially palpation of the uterus through the abdomen, beginning at the fundus and ending near the cervix.

[Kthamas]

Thanks for the timely response, appreciate it

[lcapri7]

Gracias!