A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test. Which of the following statements should the nurse make?

(A) Tell the client to apply hydrocortisone ointment to the affected area of the breast:
Hydrocortisone ointment is not appropriate for treating mastitis, which is an infection of the breast tissue. The primary treatments for mastitis include antibiotics, pain management, and supportive measures like warm compresses to relieve discomfort and promote milk flow.

(B) Suggest the client apply warm compresses to the affected breast:
Applying warm compresses to the affected breast can help relieve pain and promote milk flow, which can aid in resolving the infection. Warmth can help reduce inflammation and make breastfeeding or pumping less painful.

(C) Recommend the client avoid wearing a nursing bra until symptoms resolve:
Avoiding a nursing bra is not necessary. In fact, wearing a well-fitting and supportive nursing bra can help manage discomfort and support the breasts. It is important that the bra is not too tight to avoid further compression and blockage of milk ducts.

(D) Encourage the client to limit oral fluid intake to decrease milk production:
Limiting fluid intake is not recommended. Adequate hydration is important for overall health and maintaining milk supply. Reducing fluid intake does not effectively manage mastitis and can lead to dehydration.

(a) Avoid swaddling the newborn:
Swaddling is actually beneficial for newborns experiencing neonatal abstinence syndrome. It helps provide comfort and security, reducing irritability and promoting better sleep.

(b) Minimize holding the newborn:
Minimizing holding is not recommended. Holding and gentle handling are important as they provide comfort and can help soothe the newborn. Skin-to-skin contact and gentle rocking are beneficial practices for these infants.

(c) Decrease environmental noise:
Decreasing environmental noise is a key intervention for newborns with neonatal abstinence syndrome. These newborns are often hypersensitive to stimuli, and reducing noise helps create a calming environment that can reduce stress and overstimulation.

(d) Avoid using a pacifier:
Using a pacifier can be helpful for soothing a newborn experiencing neonatal abstinence syndrome. Sucking on a pacifier can provide comfort and help with self-regulation, reducing irritability and distress.