Chapter 16: Discharge Planning and Teaching

Chapter 16: Discharge Planning and Teaching

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

1. A nurse is making a home visit on the seventh postpartum day to assess a 23-year-old primipara woman and her full-term, healthy baby. Breastfeeding is the method of infant nutrition. The woman tells the nurse that she does not think her milk is good because it looks very watery when she expresses a little before each feeding. The nurse’s best response is:
2. “This is normal. You only have to be concerned when your baby does not gain weight.”
3. “What types of foods are you eating? A lack of protein in the diet can cause watery looking breast milk.”
4. “How much fluid are you drinking while you are nursing your baby? Too much fluid during the feeding session can dilute the breast milk.”
5. “This is normal and is referred to as foremilk which is higher in water content. Later in the feeding the fat content increases and the milk becomes richer in appearance.”

ANS: d

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate

2. A postpartum woman, who gave birth 12 hours ago, is breastfeeding her baby. She tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response for this patient is:
3. “I understand your concern, but your baby will be okay until your milk comes in.”
4. “Your baby seems content, so you should not worry about him getting enough to eat.”
5. “Milk normally comes in around the third day. Prior to that, he is getting colostrum which is high in protein and immunoglobulins which are important for your baby’s health.”
6. “You can bottle feed until your milk comes in.”

ANS: c

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Easy

3. Which of the following positions for breastfeeding is preferred for a 2-day post-cesarean-birth woman?
4. Lying down on side
5. Sitting
6. Cradle
7. Cross-cradle

ANS: a

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Comprehension | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate

4. Painful nipples are a major reason why women stop breastfeeding. A primary intervention to decrease nipple irritation is:
5. Teaching proper techniques for latching-on and releasing of suction
6. Applying hot compresses to breast prior to feeding
7. Instructing woman to express colostrum or milk at the end of the feeding session and rub it on her nipples
8. Air drying nipples for 10 minutes at the end of the feeding session

ANS: a

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate