The postpartum home care nurse has four visits to make to breastfeeding mothers. Which client is experiencing an expected outcome?
1. Breasts are engorged; placing fresh cabbage leaves inside her bra
2. Sore and cracked nipples; using baby oil to facilitate healing
3. Frequent breast leakage; changing breast pads once per day
4. Concerns about milk supply; supplementing with formula
1
Rationale:
1. Fresh green cabbage leaves help reduce engorgement.
2. Baby oil and other petroleum-based products should be avoided during breastfeeding, as they prolong nipple soreness, and must be washed off prior to feeding, which also increases nipple trauma.
3. Breast pads should be changed every few hours, as breast milk is warm and rich in nutrients that bacteria find ideal for growth, which could lead to infection.
4. Breast milk supply is regulated by demand. If a baby receives formula supplements after nursing, he will not nurse as often as he would have had he only received breast milk. This leads to decreased milk production. To increase milk production, mothers should be told to increase their fluid intake and nurse the infant more frequently.
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