A new mother is concerned that she will not have enough breast milk because of small breasts. What should the nurse respond to the mother?
A) "Have you discussed this concern with your physician?"
B) "The size of breasts does not impact the amount of breast milk that is made.".
C) "The baby's diet can be supplemented with formula beginning on the second day.".
D) "No woman has to worry about milk production as long as she feeds the baby frequently.".
B
Feedback:
Breast milk is formed in the acinar cells of the mammary glands and begins production after the delivery of the placenta. When the progesterone level falls, the production of prolactin is stimulated, which cause breast milk to be made. The nurse can discuss the patient's concern; it does not need to be discussed with the physician. Supplementing a breastfeeding baby with formula is not recommended. The nurse's comment about milk production and the frequency of feeding does not address the mother's concern.
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