The nurse is assigned to care for a client who has chosen to formula-feed her infant. The nurse will plan to instruct the client to:
1. Apply a heating pad to breasts for comfort.
2. Wear a breast shield to correct nipple inversion.
3. Wear a supportive brassiere continuously for 72 hours.
4. Use the manual breast pump provided to express milk.
3
Rationale: Wearing a supportive brassiere continuously for 72 hours postpartum will minimize breast engorgement. Any stimulation of the breasts (expression of milk, infant sucking) or in-crease in circulation (heating pad) will increase milk production or cause the blood vessels and lymphatics to engorge. Correction of nipple inversion will not be necessary if the mother chooses not to breast-feed her infant.
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