How can the nurse help the mother who is nursing and has engorged breasts?
a. Suggest that she switch to bottled formula just for today.
b. Assist her to remove her bra, making her more comfortable.
c. Apply heat to her breasts between feeding and cold to the breasts just before feedings.
d. Instruct and assist the mother to massage her breasts.
D
Engorgement is more likely to increase if breastfeeding is delayed or infrequent. A well-fitting bra should be worn both day and night to support the breasts. Cold applications are used between feedings to reduce edema and pain. Heat is applied just before feedings to increase vasodilatation. Massage of the breasts causes release of oxytocin and increases the speed of milk release.
You might also like to view...
Which statement made by a client about prostate cancer indicates correct understanding of the disease?
A. "Prostate cancer is the leading cause of cancer deaths in men in the United States." B. "Prostate cancer is the leading type of cancer in men in North America." C. "Late onset of puberty and multiple sexual partners increase the risk for prostate cancer." D. "The incidence of prostate cancer decreases with age."
An elderly client arrives in the clinic complaining of dyspnea, weight gain, chest pain, and increasing edema of the lower extremities. The client's blood pressure is elevated. The nurse discovers the client has a history of heart failure
The nurse questions the client regarding which of the following that may best help with determining why the client is currently having health problems? 1. "Have you attended any recent family or social gatherings?" 2. "Have you been out of the country lately?" 3. "Are you married?" 4. "Do you have grandchildren that you babysit?"
A 64-year-old man had a myocardial infarction (MI) 2 months ago. He has recovered to the point that he is able to climb up two flights of stairs, but he and his spouse have not resumed sexual relations
Which of the following responses by the nurse is most appropriate? A) "Is angina interfering with your sexual functioning?" B) "This lack of libido is caused by vasoconstriction in the genital area." C) "You are safe to have sex; you can resume sexual relations when you desire." D) "You may have a problem with retrograde ejaculation."
Which of the following nursing actions is appropriate in the care of a client with an implanted vascular access device?
A) Cleanse around the site of insertion with an antibacterial solution B) Clean the external portion of the catheter after infusion is complete C) Maintain patency by routine flushing with a heparinized solution D) Observe the site only; only the physician will assess the site