A nurse is assisting with the planning of an in-service about updates in wound care for nursing staff. Which of the following sources should the nurse identify as providing the best evidence-based information?

Choice A rationale:

Inquiring about a family history of suicide is relevant but not the priority when a client is actively expressing suicidal ideations. Assessing the client's immediate risk and intent is more critical.

Choice B rationale:

Understanding the stresses in the client's life is important, but asking about a plan for self-harm takes precedence in assessing the client's immediate danger.

Choice C rationale:

This question directly addresses the client's intent and plan for self-harm. Identifying a plan is crucial in assessing the level of risk and determining the appropriate intervention.

Choice D rationale:

While having someone to discuss feelings with is important, it is not the primary concern when a client is expressing suicidal ideations. Assessing the client's immediate risk and plan for self-harm should come first.

Choice A rationale:

"I should have my baby latch on to my nipple and areola during feeding." Rationale: This is the correct statement and indicates an understanding of breastfeeding. Proper latch involves the baby taking both the nipple and a portion of the areola into their mouth. This ensures effective milk transfer and prevents nipple pain and damage.

Choice B rationale:

"I should not wake my baby during the night to breastfeed." Rationale: While it is generally recommended to let a newborn sleep for longer stretches at night, it's essential to ensure the baby feeds frequently, especially in the early days. Waking the baby for feedings, at least every 2-3 hours, is important to establish a good milk supply and ensure the baby's nutritional needs are met.

Choice C rationale:

"My baby should breastfeed 5 to 10 minutes on each breast." Rationale: This statement is not entirely accurate. The duration of breastfeeding can vary from baby to baby. It's essential to allow the baby to feed as long as they want on the first breast, ensuring they get the hindmilk, which is rich in fat and essential for growth. The baby may switch to the other breast when they are ready.

Choice D rationale:

"I should keep my baby on a strict feeding schedule." Rationale: This statement is not correct. Breastfeeding is demand-driven, and it's important to feed the baby when they show hunger cues, which may not always align with a strict schedule. Feeding on demand helps ensure the baby receives enough nourishment and promotes milk supply.