The nurse providing couplet care should understand that nipple ...

[tth]

The nurse providing couplet care should understand that nipple confusion results when
 
  a. Breastfeeding babies receive supplementary bottle feedings.
  b. The baby is weaned too abruptly.
  c. Pacifiers are used before breastfeeding is established.
  d. Twins are breastfed together.

Question 2

You are the nurse working triage in the emergency department. A school-age child is brought in for treatment, carried by her mother. What is part of a primary assessment that should be performed first on this child?
 
  a. Determine level of consciousness.
  b. Obtain a health history.
  c. Obtain a full set of vital signs.
  d. Evaluate for pain.

[Pariscourtney]

Answer to Question 1

A
Feedback
A Nipple confusion can result when babies go back and forth between bottles and
breasts, especially before breastfeeding is established in 3 to 4 weeks, because
the two require different skills.
B Abrupt weaning can be distressing to mother and/or baby but should not lead to
nipple confusion.
C Pacifiers used before breastfeeding is established can be disruptive, but this does
not lead to nipple confusion.
D Breastfeeding twins require some logistical adaptations, but this should not lead
to nipple confusion.

Answer to Question 2

A
Feedback
A A primary assessment consists of assessing the child's airway, breathing,
circulation, level of consciousness, and exposure (ABCDEs).
B Obtaining the child's health history is a component of a secondary assessment.
C Vital signs are included in a secondary assessment, after the ABCDEs are
assessed.
D Assessing for pain is a component of a secondary assessment.

[tth]

Excellent

[ttt030911]

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