1. A nurse is reinforcing teaching about breastfeeding with a client who has a 12-hr-old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I will wipe the colostrum off my nipple before my baby feeds."

Colostrum contains immunoglobulins, which provide passive immunity to the newborn. Colostrum also lacilitates the newborn's passage of meconium. Therefore, the client should not remove the colostrum from her nipple prior to breastleeding Practice

I should wake up my baby to feed during the night."

Parents should awaken the newborn to feed every 4 hr at night for the first 24 to 48 hr after birth. Once the newborn is gaining weight, adequately progressing to demand feedings is safe.

"Since 1 I am breastfeeding, I won't need to give my baby iron supplements unit he's a year old,"

After 6 months of age, a all infants need to ingest iron-fortified cereal and other foods rich in iron. "I should start to pump my breasts after each feeding when I gech

Pumping after breastfeeding can lead to an oversupply of breast mil. The client should use the breast pump if the newborn is not able

to feed at the breast. After breastfeeding is well-established, the client can pump intermittently to establish a reserve supply of breast milk if desired. Newborn

2. A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider? Maternal

Tinnitus

Tinnitus is not an indication of magnesiüm toxicity and not a finding associated with preeclampsia.

Proteinuria

Proteinuria 3+ is allandication of preeclampsia rather than magnesium toxicity.

Magnesiul sülfate normally excreted in the urine. Decreased urine output can lead to inadequate elimination of the medication, which can esult in magnesium toxicity.