Question

Difficulty: MediumHealth Promotion and Disease Prevention

A client who gave birth to a healthy term newborn two days ago is preparing to return home. The client intends to exclusively breastfeed the infant. When reviewing self-care and disease prevention guidelines with the client, which points must the practical nurse emphasize? Select all that apply.

  1. Maintain your daily intake of prenatal vitamins while you continue to breastfeed.Answer
  2. B
    Expect to saturate one large perineal pad every 15 minutes for the first few days.
  3. Cleanse your hands thoroughly with soap and water before each time you nurse the baby.Answer
  4. D
    Delay any further Tdap vaccinations until after you have completely stopped breastfeeding.
  5. E
    Schedule the newborn's first measles, mumps, and rubella (MMR) immunization at the 2-month pediatric visit.
  6. Ensure the newborn is placed strictly on their back for every sleep period.Answer

Answer

The nurse must emphasize continuing prenatal vitamins, washing hands before nursing, and placing the infant on their back for sleep.
The correct statements reflect essential health promotion and disease prevention principles: maintaining maternal nutrition through prenatal vitamins, preventing infection via hand hygiene, and reducing SIDS risk through supine infant sleep positioning.

Step-by-Step Solution

1
Evaluate the statements regarding nutritional and infection-control guidelines for the postpartum client.
Continuing prenatal vitamins and practicing proper hand hygiene are correct health promotion strategies.
Breastfeeding increases caloric and vitamin requirements, and handwashing prevents neonatal infection.
2
Analyze the statements regarding infant safety and routine vaccination schedules.
Supine sleep positioning is correct for SIDS prevention. The 2-month MMR vaccination is incorrect because live vaccines are administered later.
Health promotion requires adherence to evidence-based safety guidelines and accurate immunization schedules.
3
Assess the statements related to expected postpartum recovery and maternal immunizations.
Heavy bleeding (saturating a pad in 15 minutes) is a sign of hemorrhage, not normal lochia. Tdap is safe and encouraged during breastfeeding.
Recognizing life-threatening complications and correctly identifying vaccine indications are crucial for safe practice.

Key Concept

Postpartum Health Promotion and Infant Disease Prevention
Rate this question