A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle-feed. During your assessment you notice that both of her breasts are swollen, warm, and tender on palpation
The woman should be advised that this condition can best be treated by: a. Running warm water on her breasts during a shower.
b. Applying ice to the breasts for comfort.
c. Expressing small amounts of milk from the breasts to relieve pressure.
d. Wearing a loose-fitting bra to prevent nipple irritation.
B
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A This woman is experiencing engorgement, which can be treated by using ice packs (because she is not breastfeeding) and cabbage leaves.
B This intervention is appropriate for treating engorgement in a mother who is bottle-feeding.
C A bottle-feeding mother should avoid any breast stimulation, including pumping or expressing milk.
D A bottle-feeding mother should wear a well-fitted support bra or breast binder continuously for at least the first 72 hours after giving birth. A loose-fitting bra will not aid lactation suppression. Furthermore, the shifting of the bra against the breasts may stimulate the nipples and thereby stimulate lactation.
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