The postpartum client expresses concern about getting back into her pre-pregnant shape, and asks the nurse when she will be able to run again. Which statement indicates that teaching was effective?
1. "You can start running in two weeks. Breastfeed as soon as you are done."
2. "See how your energy level is at home, and increase your activity slowly."
3. "Running is not recommended for breastfeeding women."
4. "If you are getting eight hours of sleep per day, you can start running."
2
Rationale:
1. Running might be feasible at two weeks, but it is better to tell a client how to gauge what her activity level should be. Breastfeeding should take place just prior to running, to minimize chest discomfort.
2. This response gets at increasing activity when there is a sense of energy returned, which personalizes the response to the individual client's needs. Increasing activity slowly is safer and less likely to cause injury than starting off running long distances.
3. This statement is not true. It is more comfortable to nurse prior to running, but running is not contraindicated.
4. Eight hours of sleep per day is an arbitrary number. Not all clients who get a total of eight hours of sleep feel rested, because their sleep can be interrupted and in several chunks of time.
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