A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching?
"I won't wear a bra during the daytime.".
"I'll apply cold compresses 20 min before each feeding.".
"I'll feed my baby every 2 hours.".
"I will stop breastfeeding until I am done with the antibiotics.".
The Correct Answer is C
Choice A rationale:
Wearing a supportive bra can actually help to manage engorgement, so it's not recommended to avoid wearing one during the day.
Choice B rationale:
Cold compresses are typically applied after feeding to reduce swelling, not before. Applying them before might hinder the milk let-down reflex.
Choice C rationale:
Frequent feeding can help to alleviate engorgement by ensuring that the breasts are being emptied regularly.
Choice D rationale:
Stopping breastfeeding until finishing antibiotics is not advisable, as it can lead to decreased milk supply and potential issues with engorgement. Antibiotics prescribed by a healthcare provider are usually safe to take while breastfeeding, and interrupting breastfeeding can exacerbate the engorgement problem. This choice is not appropriate for managing breast engorgement and is therefore incorrect.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Choice B rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Choice C rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Choice D rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Correct Answer is C
Explanation
Choice A rationale:
Applying crushed cabbage leaves to the breasts can be a traditional remedy to help reduce swelling and discomfort associated with engorgement.
Choice B rationale:
Wearing a snug-fitting bra can help provide support to the breasts and reduce discomfort from breast engorgement. It can also help to avoid stimulation of the breasts, which can decrease milk production in a client who is not breastfeeding. This is an appropriate comfort measure for the client.
Choice C rationale:
Stimulating the nipples by squeezing softly can lead to increased milk production and exacerbate breast engorgement. For a client who is not breastfeeding, this action is not recommended and may worsen the engorgement.
Choice D rationale:
Applying ice packs to the breasts can help reduce inflammation and alleviate discomfort from breast engorgement. This is an appropriate comfort measure for the client who is not breastfeeding.
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