A client states, "My breasts are so small. I don't think I will be able to breastfeed." Which is the nurse's best response?

a. "It may be difficult but you should try anyway."
b. "You can always supplement with formula."
c. "All women have about the same amount of glandular tissue to secrete milk."
d. "The ability to produce breast milk depends on increased levels of estrogen and progesterone."


ANS: C
All women have 15 to 20 lobes arranged around and behind the nipple and areola. These lobes, not the size of the breast, are responsible for milk production. The size of the breasts does not ensure success or failure in breastfeeding. Supplementation decreases the production of breast milk by decreasing stimulation. Stimulation of the breast, not the size of the breast, brings about milk production. Increased levels of estrogen decrease the production of milk by affecting prolactin.

Nursing

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