1. A primigravida mother who is one day post delivery tells the nurse that she is not producing enough

milk for her new baby, and she wants to begin breastfeeding at home when her milk comes in. What

info should the nurse obtain before responding to the client?

AͲwhen the lactation consultant is scheduled to visit the client in her home

BͲthe womans understanding of how her body produces breast milk.

CͲif the woman is feeling pressured by her family to breast feed her infant.

DͲwhy the woman thinks her infant is not receiving enough milk

CorrectͲ D

Sometimes new mothers do not understand that colostrums provided adequate nutrition the first three

days following delivery. So the clients thinking regarding this issue should be assessed (D). Waiting for a

visit from a lactation consultant (A) to address this issue is likely to inhibit lactation if the mother delays

suckling the infant. Although assessing the mother’s understanding of milk production (B) may provide a

teaching opportunity, it does not elicit information about the clients concern regarding the delay of

breast feeding/ Assessing the mothers feelings about her family’s desire for her to breastfreed (C)

doesn’t address the issue athand.

2. A client with endometritis is preparing for discharge on her third postpartum day, Which statement by

he client indicates that the discharge teaching was effective?

AͲI should limit my visitors until this infection clears

BͲI will resume breastfeeding when the infection is gone

CͲI should sit an upright position as much as possible

DͲI will stop taking antibiotics when my fever disappears

Correct Ͳ C

A client with endo metris should sit in an upright position© to facilitate drainage of lochia and prevent

infected fluids from enetering the peritoneal cavity. (A,B and D) indicate a needs for additional

instruction. Endometritis is an infection of the endometrial lining and is not contagious, so visitors do

not need to be restricted or limited(A). there is no indication to stop or withholding breastfeeding (b) if a

client develops endometritis. All antibiotics should be completed regardless of fever abatement.

3. A multipara postpartum client complains about intenst cramping while breastfeeding. What

instructions should the nurse provide to this client?