A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse. Which of the following conditions should the nurse include as a risk factor?

(A) "You should recognize that your baby sucking on his hands is a hunger cue.":
This statement is correct because babies often show early hunger cues such as sucking on their hands, rooting (turning their head towards the breast or bottle), or making sucking noises. Recognizing these early signs helps ensure that the baby is fed before they become too hungry and upset, making breastfeeding easier and more successful.

(B) "You should feed your baby for 10 minutes on each breast.":
This statement is not entirely accurate because the duration of feeding can vary widely among babies. Some babies may need more time to feed, while others may need less. It's important to allow the baby to feed until they show signs of being satisfied, such as slowing down their sucking or releasing the breast on their own.

(C) "You should feed your baby six times a day.":
Newborns typically need to be fed more frequently than six times a day, often every 2-3 hours, which can amount to 8-12 times in 24 hours. Feeding on demand, rather than following a strict schedule, ensures that the baby gets enough milk and supports the mother's milk supply.

(D) "You should wake your baby at least every 6 hours at night for feedings.":
This statement is not recommended because newborns, especially in the first few weeks, usually need to be fed more frequently than every 6 hours, even at night. It's generally advised to wake the baby for feedings every 3-4 hours if they do not wake up on their own to ensure they receive enough nutrition and maintain adequate growth and hydration

(a) "Wear an underwire bra between feedings."
Wearing an underwire bra between feedings can compress breast tissue and impede milk flow, increasing the risk of mastitis. This recommendation is incorrect and could contribute to the development of mastitis rather than preventing it.

(b) "You should use a breast pump if you plan to return to work."
Regularly expressing breast milk with a breast pump, especially if planning to return to work, helps maintain milk supply and prevents engorgement, which can lead to mastitis. This recommendation encourages appropriate breastfeeding practices to prevent mastitis.

(c) "Wash your nipples with soap and water daily."
While maintaining good breast hygiene is important, excessive washing with soap and water can strip the nipples of natural oils and increase the risk of dryness and cracking, which may predispose to mastitis. This recommendation is not the most effective strategy for preventing mastitis.

(d) "Cover your breasts immediately after feedings."
Covering the breasts immediately after feedings may trap moisture and promote bacterial growth, increasing the risk of mastitis. It is important to allow the breasts to air dry after feedings to prevent moisture buildup and promote healing of any cracked nipples. This recommendation is not appropriate for preventing mastitis.