RPNIntegratedPostTestIV(A):ThePNisteachingabreastfeedingclienthowtocareforbreastengorgement.Whichstatementindicatesthattheclienthasnotunderstoodtheinformation?“I’llusemassagetosoftenmybreast”“Iwillusewarmpacksortakewarmshowertoeasemybreastengorgement”–thisisanappropriatewayoftreatingbreastengorgement“Ifthebabyonlyfeedsononeside,Iwillexpressmilkontheotherside”–thisiscorrect“Ifmybreastsareuncomfortable,IwilllimitthetimeIbreastthebaby”Answer:A–breastengorgementistreatedwithwarmcompressesandemptyingthebreastifthemotherisplanningtobreastfeedwhilecoldcompressesapplicationifthemotherisplanningtobreastfeed;breastbinderorwell-fittingbraareadditionaltreatmentforbothbreastandnotbreastfeedingmothersOnthe10thpostpartumday,abreastfeedingprimiparousclientisdiagnosedwithmastitis.ThePNteachesheraboutself-careforthiscondition.Whichstatementindicatesthattheclientunderstandstheinstruction?“Ishouldcontinuetobreastfeedunlessitbecomestoopainful”—breastfeedingwillhelpopenmilkductswhichhelpdecreasedtheswellinginmastitis“Ishouldstopbreastfeedingforseveraldays”–themotherisallowedtobreastfeed“Ishouldn’tbreastfeedaslongasIamonantibiotics”–themotherisallowedtobreastfeedeveniftakingantibiotics;theinfantiswell-protectedfromtheantibodiestransferredfromthemotherduringthelasttrimesterofpregnancyandduringplacentalseparation“Mastitismaybeassociatedwithbreastcancerinlaterlife”–thisisnotcorrectWhichinformationmustbecommunicatedtothemotherofapyloricstenosisnewborn:Pyloricstenosisisduetoarecessivegenecarriedbyparents–pyloricstenosisishereditaryBoyscarrythegeneandtendtodevelopthedisease–bothgendercarrythegene;incidenceishigherinboysthangirlsThisdiseasecanbecausebybreastfeeding–thisisnotsupportedbyscienceMostcauseofdiarrheaamongnewborns–pyloricstenosiscausesconstipationAhighschoolsuggeststhatthereisnotimetoteachproperandsafesexeducation.HowwouldthePNpromotesexeducationifhighschoolhasnotime?DistributepamphletstoallgradesInitiateanafterschoolprogramsession–thiswillbeabettertimeforstudent