To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?
a. Feed her infant no more than every 4 hours.
b. Limit her intake of fluids for the first few days.
c. Apply cold packs to the breast prior to feeding.
d. Breast-feed frequently and for adequate lengths of time.
ANS: D
Engorgement occurs when the breasts are not adequately emptied at each feeding or if feedings are not frequent enough. Breast milk moves through the stomach within 1.5 to 2 hours, so waiting 4 hours to feed is too long. Frequent feedings are important to empty the breast and establish lactation. Fluid intake should not be limited with a breastfeeding mother; that would decrease the amount of breast milk produced. Warm packs should be applied to the breast before feedings.
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