Mrexcell

Breastfeeding w/ Nutrition, Maternal Infections, Myths & Facts Myth:Frequent nursing leads to poor milk production, a weak let-down response and ultimately unsuccessful nursing. Fact: Milk supply is optimized when a healthy baby is allowed to nurse as often as he indicates the need. The milk-ejection reflex operates most strongly in the presence of a good supply of milk, which normally occurs when feeding on baby's cue. Myth:A mother only needs to nurse four to six times a day to maintain go...

When does the breast begin to develop in utero? 4th week of gestation Where does the primitive milk streak develop Bilaterally from the axilla to the groin By the 5th week gestation the milk streak becomes what? Mammary Milk Ridge (or milk line) Thickening and inward growth into the chest wall continues during what weeks gestation? 7-8 weeks gestation Between weeks 12 and 16 gestation specialized cells differentiate into what? Smooth muscles of the nipple and areola What forms the mamm...

Which of the following maternal perinatal factors is MOST LIKELY to interfere with initiation of breastfeeding? Cesarean surgery A mother complains of incision pain following her cesarean birth and requests pain relief medication, but she is worried about the effect on her baby. Your FIRST response to her should be: We will monitor you and your baby closely after you have received pain medication Which components of human milk are MOST STABLE to pasteurization and freezing? Minerals Whi...

• Guaiac Occult Test. What lab is most important? Platelet count • Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate intervention? Positive Gastro Occult • .A patient with Parkinson's "Freezes". Pretends there is a crack on the floor and carefully lifts leg and steps over. Confirm that this is the correct and effective technique • Patient had Atrial Fibrillation and then AED was used. One minute later, patient sudden goes in to ventri...

The practical nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the PN to take? A. Ask another nurse to go back with the medication when the client's hung up the phone B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the medication C. Return the medication to the client's drawer on the cart and document the client refused the dose D. Leave the medica...

Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? Review with the client the need to avoid foods that are rich in milk and cream A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106...

patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment? a. "It sounds as though you were uncomfortable with the content of your dream." b. "I understand what you're saying. Bad dreams leave me feeling tired, too." c. "So you feel as though you did not get enough quality sleep last night?" d. "Can you give me an example of what you mean by ...

Which statement demonstrates the nurse processes an understanding of the role of a psychiatric nurse regarding discharge planning? A. "I will work on the patient's discharge planning as soon as he is stable." B. "I will address your discharge concerns with your multidisciplinary team today" C. "Discharge planning is not as high a priority for those with chronic mental illnesses." D. "Discharge planning is discussed with family once the decisions have been made." B A patient with w...

What is the major cause of CAD Atherosclerosis Atherosclerosis Begins as soft deposits of fat that harden with age Referred to as "hardening of arteries" Atheromas (fatty deposits) prefer coronary arteries Also known as ASHD, CVHD, IHD, CHD Characterized by lipid deposits within intima of artery Platelets may come in and clot to try and repair wall What plays a role in arteriosclerosis Endothelial injury and inflammation Coronary Artery Disease Risk Factors Non- modifiable ...

What are green/shiny stools a sign of? -sign of overproduction leading to less fat in milk, faster digestion causing not enough time for lactase to digest the lactose in milk. An improved latch could allow for more fat flow Signs of oversupply Rapid weight gain in infant, unsettled baby after feeding, recurrent plugged ducts and mastitis, painful feedings, voluminous (huge volumes of) stools- often green & shiny What causes nipple pain? Improper latch--> need lactation support to help wi...