A primipara client who is bottle feeding her baby begins to experience breast engorgement on her third postpartum day. Which instruction would be most appropriate to aid in relieving her discomfort?
A) "Express some milk from your breasts every so often to relieve the distention.".
B) "Remove your bra to relieve the pressure on your sensitive nipples and breasts.".
C) "Apply ice packs to your breasts to reduce the amount of milk being produced.".
D) "Take several warm showers daily to stimulate the milk let-down reflex.".
C
Feedback:
For the woman with breast engorgement who is bottle feeding her newborn, encourage the use of ice packs to decrease pain and swelling. Expressing milk from the breasts and taking warm showers would be appropriate for the woman who was breast-feeding. Wearing a supportive bra 24 hours a day also is helpful for the woman with engorgement who is bottle feeding.
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