A breastfeeding woman develops engorged breasts at 3 days' postpartum. What action would help this woman achieve her goal of reducing the engorgement? The woman:
a. Skips feedings to let her sore breasts rest.
b. Avoids using a breast pump.
c. Breastfeeds her infant every 2 hours.
d. Reduces her fluid intake for 24 hours.
ANS: C
The mother should be instructed to attempt feeding her infant every 2 hours while massaging the breasts as the infant is feeding. Skipping feedings may cause further swelling and discomfort. If the infant does not feed adequately and empty the breast, the mother may pump to extract the milk and relieve some of the discomfort. Dehydration further irritates swollen breast tissue.
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