Author Question: A nurse is teaching a class on breastfeeding to expectant parents. Which are contraindications for ... (Read 97 times)

PhilipSeeMore · **on:** Jun 28, 2018

A nurse is teaching a class on breastfeeding to expectant parents. Which are contraindications for breastfeeding? (Select all that apply.)

a. Human immunodeficiency virus (HIV) in mother
b. Mastitis
c. Inverted nipples
d. Maternal cancer therapy
e. Twin births

Question 2

A nurse is assessing the presence of expected reflexes in a newborn. Which figure depicts the elicitation of the tonic neck reflex?

a. c.
b. d.

karlss · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, D
HIV in the mother and maternal cancer therapy place the newborn at risk. HIV can be transmitted through breast milk, as can be the metabolites of chemotherapy. Mastitis, inverted nipples, and twin births are not contraindications.

Answer to Question 2

ANS: B
The tonic neck reflex is elicited when the newborn's head is turned to one side; the arm and leg extend on that side, and opposite arm and leg flex (fencing position). The Moro reflex is elicited by sudden jarring or change in equilibrium. The newborn has extension and abduction of extremities and fanning of fingers, with index finger and thumb forming a C shape followed by flexion and adduction of extremities; legs may weakly flex. The dancing reflex is elicited when the newborn is held so that the sole of the foot touches a hard surface; there is a reciprocal flexion and extension of the leg, simulating walking. The crawl reflex is elicited when the newborn is placed on the abdomen; the newborn makes crawling movements with arms and legs.