On the second day postpartum, the client who is bottlefeeding experiences engorgement. Which should the nurse encourage to enhance the client's comfort?

1. Removing her bra
2. Applying heat to her breasts
3. Applying ice packs to her breasts
4. Limiting breastfeeding to twice daily


3
Explanation:
1. Removing her bra will only serve to increase breast milk production. A tight-fitting bra should be worn at all times for 5 to 7 days and only removed when showering.
2. Applying heat will promote breast milk production.
3. Applying ice packs to the breasts relieves discomfort through the numbing effect of ice.
4. Limiting breastfeeding to twice per day actually would decrease the flow of breast milk eventually, and would not serve to decrease the discomfort of the mother.

Nursing

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A nurse suspects that a preterm newborn is having problems with thermal regulation. Which of the following would support the nurse's suspicion? (Select all that apply.)

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When the nurse diagnoses that a client is experiencing panic-level anxiety, an intervention that

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A 1-year-old has been admitted for complete repair of a tetralogy of Fallot. What assessment finding should the nurse expect to be documented?

a. Weight gain b. Pale skin color c. Increasing cyanosis d. Decrease in hemoglobin and hematocrit

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