The nurse is explaining the process of breast milk production with a patient pregnant with her first child. What should the nurse include when providing this teaching? (Select all that apply.)
A) Breast milk is thin, yellow, and watery.
B) For the first 3 to 4 days, the breast milk is colostrum.
C) Uterine cramping is a contraindication to breastfeeding.
D) True breast milk comes in by the 10th day after giving birth.
E) Most mothers have breast milk by the first day after giving birth.
B, D
Feedback:
For the first 3 to 4 days after delivery, the breast milk is colostrum. The consistency changes to true breast milk by the 10th postpartum day. Colostrum is thin, yellow, and watery. Uterine cramping occurs as a result of oxytocin released during breastfeeding and is not a contraindication to breastfeeding but an expected occurrence. Most mothers do not have breast milk by the first day after giving birth.
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