When participating in the planning of care of a postpartum client who plans to breast-feed her infant, the nurse realizes the importance of including which of the following in the teaching plan to prevent the development of mastitis?
1. Offer only one breast at each feeding.
2. Massage distended areas as the infant nurses.
3. Cleanse nipples with a mild antibacterial soap before and after infant feedings.
4. Express and discard milk from the affected breast at the first signs of mastitis.
2
Rationale: Massaging the distended areas as the infant nurses will encourage complete emptying of the breast and prevent milk stasis. Soap should not be used on the nipples because of the risk of drying or cracking. Each breast should be offered at each feeding to prevent milk stasis and to ensure adequate milk supply. If early signs of mastitis occur, the client usually will be instructed to nurse the infant more frequently, because infant sucking is thought to empty the breast more completely.
You might also like to view...
The most helpful response for the nurse to make when a client being treated as an outpatient states "I
am considering committing suicide" is a. "I am glad you shared this. There is nothing to worry about. We will handle it together.". b. "We need to talk about the things you have to live for.". c. "I think you should admit yourself to the hospital to get help with this.". d. "Bringing this up is a very positive action on your part.".
A dying client tells the nurse that he doesn't want to see his family because he doesn't want to cause them more sadness. Which action by the nurse is most appropriate?
A) Arrange a meeting between the family and the client. B) Help the patient clarify his values. C) Educate the patient on death and dying concepts. D) Allow the patient time for quiet reflection.
The nurse is assisting a physician during the examination of an infant with developmental hip dysplasia. The physician performs the Ortolani maneuver
The nurse determines that the infant exhibits a positive response to this maneuver if which of the following is noted? 1. A shrill cry from the infant 2. Asymmetry of the affected hip 3. Reduced range of motion in the affected hip 4. A palpable click during abduction of the affected hip
Which of the following is classified as an anticoagulant?
a. Digoxin b. Dobutamine c. Heparin d. Lorazepam