During the first (initial) feeding, a client asks how long her ...

[tiara099]

During the first (initial) feeding, a client asks how long her baby should suckle on each breast per feeding. Which is the nurse's best response?
 
  a. Five minutes per side for each feeding will empty each breast and prevent nipple tenderness.
  b. Keep waking the baby up until he nurses at least 15 minutes at each breast every 3 hours.
  c. Nurse only on one breast at each feeding today for 5 minutes per feeding and start alternating breasts with the first feeding tomorrow.
  d. The time will depend on your baby's re-sponse. Increasing to about 15 minutes per side will be helpful to establish milk supply.

Question 2

The nurse is analyzing a fetal heart rate (FHR) monitor strip. The nurse notes that some early decelerations are present. The nurse explains to the client that early decelerations are most often related to:
 
  1. Umbilical cord compression.
  2. Fetal head compression.
  3. Uteroplacental insufficiency.
  4. Fetal hypoxia.

[zogaridan]

Answer to Question 1

D
Nursing the infant to a goal of 15 minutes per side will provide adequate milk supply. Five minutes per side is not adequate time for the breast to be emptied. Unless there is a pathophysiological problem with the infant, waking the child every 3 hours shouldn't be necessary. Normally, the infant feeds on demand every 2 to 3 hours. Nursing only on one breast at each feeding today for 5 minutes will encourage engorgement.

Answer to Question 2

2
Rationale:
1. Cord compression results in variable decelerations.
2. Early decelerations are most often related to fetal head compression.
3. Uteroplacental insufficiency results in late decelerations.
4. Hypoxia results in decreased variability.

[tiara099]

Thanks for the timely response, appreciate it

[nanny]

TYSM