A patient states, My breasts are so small, I don't think I will ...

[erika]

A patient states, My breasts are so small, I don't think I will be able to breastfeed. The nurse's best response is
 
  a. It may be difficult, but you should try anyway.
  b. You can always supplement with formula.
  c. All women have approximately the same amount of glandular tissue to secrete
  milk.
  d. The ability to produce breast milk depends on increased levels of estrogen and
  progesterone.

Question 2

With regard to a woman's intake and output during labor, nurses should be aware that:
 
  a. The tradition of restricting the laboring woman to clear liquids and ice chips is being challenged because regional anesthesia is used more often than general anesthesia.
  b. Intravenous (IV) fluids usually are necessary to ensure that the laboring woman stays hydrated.
  c. Routine use of an enema empties the rectum and is very helpful for producing a clean, clear delivery.
  d. When a nulliparous woman experiences the urge to defecate, it often means birth will follow quickly.

[uniquea123]

Answer to Question 1

C
Feedback
A The size of the breasts does not ensure success or failure in breastfeeding.
B Supplementation decreases the production of breast milk by decreasing
stimulation. Stimulation of the breast, not the size of the breast, brings about
milk production.
C All women have 15 to 20 lobes arranged around and behind the nipple and
areola. These lobes, not the size of the breast, are responsible for milk
production.
D Increased levels of estrogen decrease the production of milk by affecting
prolactin.

Answer to Question 2

A

Feedback
A Women are awake with regional anesthesia and are able to protect their own airway, which reduces the worry over aspiration.
B Routine IV fluids during labor are unlikely to be beneficial and may be harmful.
C Routine use of an enema is at best ineffective and may be harmful.
D This is true for a multiparous woman but not for a first-timer.

[erika]

Wow, this really help

[raenoj]

TYSM