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grrrrrr NCLEX practice questions.  

post #1 of 18
Thread Starter 
Just doing some studying for the NCLEX (nursing licensing exam)...heres a question i just got:


A mother is planning on weaning her 5-month-old infant from breastfeeding. She says that the infant may get many infections, since the baby will not be getting immunity through her breast milk. What response by the nurse would be most appropriate?

A) "Infections are a major cause of death in newborns, so you may want to reconsider."

B) "Your baby will be fine; the natural immunity will continue until the baby produces its own antibodies."

C) "Infants begin to make their own immunity between 1 and 3 months of age."

D) "Just don't allow your infant to get the DPT until 1 year of age if you stop breastfeeding now."




Correct Answer:
C) "Infants begin to make their own immunity between 1 and 3 months of age."


Objective: Differentiate active from passive immunity.

Rationale: The newborn does begin to synthesize its own immunoglobulins between 1 and 3 months of age. Infections are a major cause of death in newborns, but that is not the reason to consider continuation of breastfeeding. The other answers are inaccurate and not reassuring.


Oh i forgot...always reassure the patient that what they are doing is fine even if it may compromise the health of the child. Right.
post #2 of 18
I had a question similar to this on my NCLEX too. Made me so angry!!! The sad thing is that nurses are getting taught this crap and we wonder why so many have no clue about breastfeeding and its benefits.
post #3 of 18
Great!
I'm in nursing school and this semester one of our classes is maternity nursing so I'm very curious to see how my knowledge of breastfeeding might affect some things........
I totally would have picked A. And if I were to come up in that situation in a clinical setting that is the first point I would get across.

How much was breastfeeding emphasized in your OB class?
post #4 of 18
Quote:
Originally Posted by MrsRitchie View Post
Great!
I'm in nursing school and this semester one of our classes is maternity nursing so I'm very curious to see how my knowledge of breastfeeding might affect some things........
I totally would have picked A. And if I were to come up in that situation in a clinical setting that is the first point I would get across.

How much was breastfeeding emphasized in your OB class?

Umm, not at all. When I was doing my OB clinical, one of my mom's baby had to be transferred to a different facility due to health problems, but the mom couldn't be discharged yet so it was my job to start her pumping. Now, mind you I had never had a baby or even SEEN a breastpump before, and my instructor said to me, well, if you don't know how to use it (the pump), you better read the instructions first so you know what to tell your patient. And that was it. I never heard the word breastfeed or breastpump again throught college.:::
post #5 of 18
Where is answer E? Whoch is the correct one? Oh here it is:

E. The AAP recommends a minimum of 6 months of exclusive bf, than adding complementary foods along with breastfeeding for at least 12 months.

*I would mention WHO but I don't think NCLEX is bsed on world health.
post #6 of 18
Quote:
Originally Posted by MrsRitchie View Post
Great!
I'm in nursing school and this semester one of our classes is maternity nursing so I'm very curious to see how my knowledge of breastfeeding might affect some things........
I totally would have picked A. And if I were to come up in that situation in a clinical setting that is the first point I would get across.

How much was breastfeeding emphasized in your OB class?
Very, very little. Very little about womans health and OB/GYN stuff in general. Most of the focus is on elderly and general med-surg.

What a dumb question. Even if I didn't know much about breastfeeding, I would have been stumped. I was under the impression that infants are still pretty vulnerable the first year to sickness.
post #7 of 18
Well, I wouldn't have picked A because a 5mo is no longer a "newborn". And D is pointless if they've been following the AAP schedule because the baby would have already gotten 2 DTaPs by then- and if she was informed enough to avoid the shots, it's doubtful she would have been asking a nurse about weaning a 5mo without a valid medical reason!

Just answer the question the way they want you to answer it, and do what you KNOW is best when you're in practice.
post #8 of 18
Quote:
Originally Posted by Ruthla View Post
Just answer the question the way they want you to answer it, and do what you KNOW is best when you're in practice.
If I could only stitch this saying on a pillow.....
post #9 of 18
Thread Starter 
Quote:
Originally Posted by Breastfeeding Insomniac View Post
If I could only stitch this saying on a pillow.....
SERIOUSLY! I feel like at this point i'm not even in school to "learn" anything. I've mastered my sciences and memorized the math and the drugs and the anatomy...etc... Now i'm just being trained to think the way a nurse is "suppose" to think, and learn how to master test taking.
post #10 of 18
Quote:
Originally Posted by ErinsJuneBug View Post
SERIOUSLY! I feel like at this point i'm not even in school to "learn" anything. I've mastered my sciences and memorized the math and the drugs and the anatomy...etc... Now i'm just being trained to think the way a nurse is "suppose" to think, and learn how to master test taking.
Believe me, I truly understand what you are going through.
post #11 of 18
Quote:
Originally Posted by ErinsJuneBug View Post
SERIOUSLY! I feel like at this point i'm not even in school to "learn" anything. I've mastered my sciences and memorized the math and the drugs and the anatomy...etc... Now i'm just being trained to think the way a nurse is "suppose" to think, and learn how to master test taking.
As a former nursing instructor, I can assure you that is *exactly* what you are there for. :
post #12 of 18
I am a RN (have been for almost 10 years). The knowlege I had about nursing prior to my own pregnancy barely scratched the surface. I had an interview last week for a teaching position in a nursing school. If I decide to take it this will be a focus in my classroom! Afterall, nursing is largely a female occupation so what better audience for lactivism!
post #13 of 18
Quote:
Originally Posted by Ruthla View Post
Just answer the question the way they want you to answer it, and do what you KNOW is best when you're in practice.
Crazy but so true! I am thankful for my instructors at University of Wyoming for this information before taking the NCLEX and for their determination to instill a culture of breastfeeding into every nursing student in my program. They never danced around the importance of breastmilk!!
post #14 of 18
I am considering nursing school in the next few years. I am honestly concerned that I won't make it through because I will have too much of a problem with the general medical/pathological approach to women and babies. I am fairly fastidious, too, and I am uncomfortable being "fake".

Don't you ever feel wierd just working the system? Is it truly better once you are done with school or do you find you have to fight constantly to help laboring/nursing mothers?

MAybe I need to start a whole new thread.....
post #15 of 18
Quote:
Originally Posted by ambivamom View Post
I am considering nursing school in the next few years. I am honestly concerned that I won't make it through because I will have too much of a problem with the general medical/pathological approach to women and babies. I am fairly fastidious, too, and I am uncomfortable being "fake".

Don't you ever feel wierd just working the system? Is it truly better once you are done with school or do you find you have to fight constantly to help laboring/nursing mothers?

MAybe I need to start a whole new thread.....
It gets a little better once you enter the "real world" of nursing. You have more autonomy. But nursing is NOTHING that I hoped it would be.

It seems like it's all about CYA. Especially in the areas of maternal/child. So many things are done "just in case" and "because it's policy" or "that's the way it's always done" or "we have to do everything, because if they sue us, they can't say we didn't try". (<---that has got to be the most depressing) You are constantly reminded about how NICU has the highest litigation rate, and you WILL get sued at some point in your career and that the family can sue until the kid is 21 y/o. OKAY I GET IT.

I love my job, but I can honestly say...if I knew that this was nursing, I probably would have picked another career path. I can't see myself working in a hospital environment for the rest of my work life.
post #16 of 18
Quote:
Originally Posted by Ruthla View Post

Just answer the question the way they want you to answer it, and do what you KNOW is best when you're in practice.
I'm in nursing school now and this is definitely my mantra. I am also working as a maternal-child nurse's aide at a local hospital and have been doing a lot of tongue biting. Someday when I am an RN, IBCLC, and hopefully even a CNM, maybe I'll make a big difference. But for now it's baby steps -- like asking the mother told to stop bf for 24 hours b/c of jaundice in her 7 day old whether she spoke to the hospital's IBCLC about that recommendation (and giving her the phone # when she said no) or doing vitals on the bf newborn whose mom said "bring to bf if awake before midnight, otherwise feed in and bring to bf at 7 am." The dipaer change and rectal temp left that baby really wanting to nurse at 11:50 PM!
post #17 of 18
Quote:
Originally Posted by mommykmm View Post
The dipaer change and rectal temp left that baby really wanting to nurse at 11:50 PM!
:
post #18 of 18
In theory I agree with Ruthla...but then there's that big mouth of mine, always getting in the way...
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