The nurse is completing the discharge teaching of a young first-time mother. Which statement requires immediate intervention?
1. "I will put my baby to bed with his bottle so he doesn't get hungry during the night."
2. "My baby will probably have a bowel movement each breastfeeding, and will wet often."
3. "Nursing every 1½–2 hours is normal, for a total of 8–12 feedings every day."
4. "I will drink yarrow tea from my grandmother to prevent my milk from coming in."
1
Rationale:
1. Putting a baby to bed with a propped bottle is a choking hazard, and should never be done.
2. Breastfed infants have more frequent bowel movements than do bottle-fed infants. Both should have at least five wet diapers per day.
3. This is a true statement. Breastmilk is easier to digest than formula, therefore infants eat more frequently.
4. Yarrow is one of the anti-galactogogues (herbs that decrease lactation), and is used by formula-feeding women to decrease milk supply.
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