A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Have the client limit the length of breastfeeding to 5 min per breast.
Instruct the client to wait 4 hr between daytime feedings.
Offer supplemental formula between the newborn's feedings.
Assess the newborn's latch while breastfeeding.
The Correct Answer is D
Rationale:
A. Limiting the length of breastfeeding to 5 minutes per breast is not recommended and may lead to inadequate milk transfer and supply issues.
B. Instructing the client to wait 4 hours between daytime feedings may result in insufficient milk intake for the newborn and could impact breastfeeding success.
C. Offering supplemental formula between feedings may interfere with establishing breastfeeding and could decrease the client's milk supply.
D. Assessing the newborn's latch while breastfeeding is the appropriate action for addressing sore nipples. Poor latch is a common cause of nipple soreness in breastfeeding mothers. Ensuring the newborn has a proper latch can help alleviate discomfort and prevent further nipple trauma.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, typically in the fallopian tube. This scenario does not match the clinical presentation described.
B. Incompetent cervix is characterized by painless cervical dilation in the second trimester and is not relevant to the clinical situation described.
C. Postpartum hemorrhage is a risk when a woman is in advanced labor with significant cervical dilation. The nurse should be vigilant for signs of hemorrhage during labor and after delivery.
D. Hyperemesis gravidarum is severe nausea and vomiting during pregnancy and is not directly related to the client's current labor status.
Correct Answer is C
Explanation
Rationale:
A. Bathing the baby immediately after a feeding is not recommended, as it may cause discomfort or spit-up due to movement and manipulation of the baby's body. It's best to wait until the baby is settled and not hungry.
B. Putting a soft mattress in the baby's crib increases the risk of sudden infant death syndrome (SIDS). Firm mattresses are recommended to reduce the risk of suffocation.
C. Washing the baby's face with plain water is a safe and appropriate instruction. Using plain water helps prevent irritation or allergic reactions that may occur with soaps or other cleansing agents.
D. Placing a bumper pad in the baby's crib is not recommended due to the risk of suffocation and strangulation. Bumper pads can also increase the risk of SIDS.
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