During a home care visit, the new mother complains of breast engorgement. Which intervention is most appropriate for recommendation by the home care nurse?
1. "Apply an ice compress to your breast before nursing."
2. "Encourage your baby to suckle for an average of 5 minutes per feeding."
3. "Apply warm compresses to your breast after you finish feeding your baby."
4. "When you aren't nursing, wear a well-fitted nursing bra at all times, even when you sleep."
Correct Answer: 4
Rationale 1: Warm compresses before nursing stimulate let-down and soften the breast so that the infant can grasp the areola more easily. Cool compresses after nursing can help slow refilling of the breasts and provide comfort to the mother.
Rationale 2: For women with breast engorgement, the infant should suckle for an average of 15 minutes per feeding and should feed at least 8 to 12 times in 24 hours.
Rationale 3: Warm compresses before nursing stimulate let-down and soften the breast so that the infant can grasp the areola more easily. Cool compresses after nursing can help slow refilling of the breasts and provide comfort to the mother.
Rationale 4: The mother should wear a well-fitted nursing bra 24 hours a day to support the breasts and prevent discomfort from tension.
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