A newly delivered mother who intends to breastfeed tells her ...

[Diane]

A newly delivered mother who intends to breastfeed tells her nurse, I am so relieved that this pregnancy is over so I can start smoking again. The nurse encourages the woman to refrain from smoking.
 
  However, this new mother insists that she will resume smoking. The nurse will need to adapt her health teaching to ensure that the woman is aware that: a. Smoking has little or no effect on milk production.
  b. There is no relation between smoking and the time of feedings.
  c. The effects of secondhand smoke on infants are less significant than for adults.
  d. The mother should always smoke in a room away from the baby.

Question 2

The school nurse is planning an education program for fourth-grade children regarding prepubescent changes. What is an action the nurse should include to make the educational program successful?
 
  1. Prior to the program, discuss program content with the parents.
  2. Have the parents present during the program.
  3. Talk to all of the fourth-grade classes at one time.
  4. Plan the program for after school.

[akudia]

Answer to Question 1

D

Feedback
A Smoking may impair milk production. When the products of tobacco are broken down, they cross over into the breast milk. Tobacco also results in a reduction of the antiinfective properties of breast milk.
B Research supports that mothers should not smoke within 2 hours before a feed-ing.
C The effects of secondhand smoke on infants include sudden infant death syn-drome.
D For all of the above reasons, the new mother should be encouraged not to smoke. If she continues to smoke, she should be encouraged to always smoke in a room away from the baby.

Answer to Question 2

1
Rationale:
1. At this age, the information might be new to the child. Involving the parents might entail a preprogram discussion by the parents with the child, or giving the parents a guide to discuss and reinforce later. If the parents and child are able to communicate about the changes, this will promote communication throughout the rest of the growth of the child.
2. The children might not be comfortable having their parents present during the program.
3. Having boys and girls together for this information might be embarrassing or stressful for this aged child.
4. Some children would be unable to attend after school.

[Diane]

Correct answers!

[akudia]

Great! Please up vote