The nurse is caring for a new mother who received atropine before undergoing a laparoscopic tubal ligation. The patient tells the nurse that she is breast-feeding her baby and asks whether she can breast-feed when she gets home
What is the nurse's best response? A) "You can breast-feed when you get home because the drugs given before surgery will be out of your system."
B) "You can breast-feed as soon as you get home because atropine will not cross into the breast milk."
C) "Discard all breast milk for the next week and feed the baby formula before returning to breast-feeding."
D) "Discard all breast milk for the next 24 hours and feed formula until tomorrow when you can nurse your baby."
D
Feedback:
Lactating mothers should not breast-feed after receiving atropine until the drug has been fully excreted. Because atropine crosses into breast milk and the duration of action is 4 hours, it is safest to have the mother wait 24 hours to breast-feed, continuing to pump and discard the milk while feeding the infant formula. After 24 hours, she can return to breast-feeding because any atropine in breast milk will be eliminated. There is no need to wait a week and although the drug may be out of the bloodstream, the milk in her breast will still contain atropine.
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