which of the following conditions is a contraindication for breastfeeding

ATI LPN

ATI Proctored Community Health

1. Which of the following conditions is a contraindication for breastfeeding?

A. Maternal HIV infection
B. Maternal diabetes
C. Maternal anemia
D. Maternal hypertension

Correct answer: A

Rationale: Maternal HIV infection is a contraindication for breastfeeding because it poses a risk of transmission to the infant. HIV can be transmitted through breast milk, putting the baby at risk of acquiring the infection. Therefore, it is recommended that mothers with HIV do not breastfeed to prevent the transmission of the virus to their infants.

2. Which statistic best reflects the nutritional status of a population?

A. 1-4 year old age-specific mortality rate
B. Proportionate mortality rate
C. Infant mortality rate
D. Swaroop’s index

Correct answer: A

Rationale: The most appropriate statistic to reflect the nutritional status of a population is the 1-4 year old age-specific mortality rate. This age group is highly susceptible to the effects of malnutrition, so a population with poor nutritional status is likely to have a high 1-4 year old age-specific mortality rate, also known as child mortality rate.

3. A client has a tracheostomy and requires suctioning. Which of the following actions should be taken?

A. Hyperoxygenate the client before suctioning
B. Insert the catheter while exhalation
C. Apply suction after inserting the catheter
D. Limit suctioning to no more than 15 seconds

Correct answer: A

Rationale: Hyperoxygenating the client before suctioning is crucial to prevent hypoxia during the procedure. By using a manual resuscitation bag with 100% oxygen, the nurse should provide several breaths to the client to ensure sufficient oxygenation before starting suctioning. This approach helps maintain oxygen levels and decreases the risk of hypoxia, which may arise when suctioning interrupts the normal respiratory process. Choices B, C, and D are incorrect because inserting the catheter during exhalation, applying suction while inserting the catheter, and limiting suctioning to 15 seconds do not address the priority of hyperoxygenating the client to prevent hypoxia.

4. A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home?

A. Family members who smoke should be at least 10 ft away from the client when oxygen is in use
B. Nail polish should not be used near a client who is receiving oxygen
C. A 'No Smoking' sign should be placed on the front door
D. Cotton bedding and clothing should be replaced with items made from wool

Correct answer: C

Rationale: The correct answer is C. Placing a 'No Smoking' sign on the front door is crucial for fire safety when using oxygen at home. Choice A is incorrect as family members who smoke should not be around the client when oxygen is in use, not just at a distance. Choice B is not directly related to oxygen safety. Choice D is also irrelevant as the type of bedding and clothing material does not impact oxygen safety.

5. A nurse is assessing a client diagnosed with schizophrenia. The nurse asks the client to interpret the following statement: “When the cat’s away, the mice will play.” The client responds, “The mice come out when the cat is not around.” The nurse should document this finding as:

A. Echolalia
B. Associative looseness
C. Neologisms
D. Concrete thinking

Correct answer: D

Rationale: The client’s literal interpretation of the statement is an example of concrete thinking, a cognitive symptom often seen in schizophrenia where abstract thinking is impaired. Choice A, Echolalia, is the repetition of words spoken by others, which is not demonstrated in this scenario. Choice B, Associative looseness, refers to a disturbance in the logical progression of thoughts, leading to a disorganized thought process. Choice C, Neologisms, involves creating new words or phrases with unique meanings, which is not evident in the client's response.