Which recommendation should the nurse make to a client to initiate the milk ejection reflex?
a. Wear a well-fitting firm bra.
b. Drink plenty of fluids.
c. Place the infant to the breast.
d. Apply cool packs to the breast.
ANS: C
Oxytocin, which causes the milk let-down reflex, increases in response to nipple stimulation. A firm bra is important to support the breast but will not initiate the let-down reflex. Drinking plenty of fluids is necessary for adequate milk production but will not initiate the let-down reflex. Cool packs to the breast will decrease the let-down reflex.
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