Which statement made by a lactating woman leads the nurse to ...

[mcmcdaniel]

Which statement made by a lactating woman leads the nurse to believe that the woman might have lactose intolerance?
 
  a. I always have heartburn after I drink milk.
  b. If I drink more than a cup of milk, I usually have abdominal cramps and bloating.
  c. Drinking milk usually makes me break out in hives.
  d. Sometimes I notice that I have bad breath after I drink a cup of milk.

Question 2

What is an early sign of necrotizing enterocolitis (NEC) in the preterm infant?
 
  a. Temperature instability c. Meconium ileus
  b. Reflux d. Abdominal distension

[potomatos]

Answer to Question 1

B
Feedback
A The woman with lactose intolerance is more likely to experience bloating and
cramping, not heartburn.
B One problem that can interfere with milk consumption is lactose intolerance, which is
the inability to digest milk sugar because of a lack of the enzyme lactose in the small
intestine. Milk consumption may cause abdominal cramping, bloating, and diarrhea in
such people, although many lactose-intolerant individuals can tolerate small amounts of
milk without symptoms.
C A woman who breaks out in hives after consuming milk is more likely to have a milk
allergy.
D This woman should be advise to simply brush her teeth after consuming dairy products.

Answer to Question 2

D
In addition to abdominal distension, gastric residuals, vomiting, and bloody stools are early indicators of NEC. Temperature instability, reflux, and meconium ileus are not early manifestations of NEC.

[mcmcdaniel]

Excellent

[LVPMS]

TYSM