A new mother receives heparin. She asks the nurse if she can breastfeed her baby. What is the most therapeutic response by the nurse?
1. "No, because it would be too difficult to regulate your heparin dose."
2. "No, because this could cause your nipples to bleed."
3. "No, because this could alter your international normalized ratio (INR) times too much."
4. "No, because heparin will enter your breast milk."
Correct Answer: 2
Rationale: Use of heparin during breastfeeding can trigger bleeding from the nipples and should be avoided. Heparin does not enter the breast milk. Breastfeeding would not alter the international normalized ratio (INR). Breastfeeding would not make it difficult to regulate the heparin dose.
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