A nurse is caring for a client who is postpartum and has a prescription for Rho (D) Immunoglobulin. The nurse should verify which of the following prior to administration?

A) Stop breastfeeding:

Stopping breastfeeding is not recommended as it can lead to engorgement, mastitis, and a decrease in milk supply. Instead, the nurse should encourage the client to continue breastfeeding and offer strategies to reduce nipple soreness.

B) Start breastfeeding with the nipple that is less sore:

Starting breastfeeding with the nipple that is less sore can help reduce discomfort during feeding. This allows the baby to feed more gently on the sore nipple after satisfying initial hunger on the less sore side.

C) Massage the breasts and nipples prior to feeding:

Massaging the breasts and nipples prior to feeding can help stimulate milk flow, soften the breasts, and reduce nipple soreness. It also helps the baby latch on more effectively, reducing discomfort for both the mother and the baby.

D) Apply breast milk to the nipples:

Applying breast milk to the nipples after feeding can help soothe and heal sore nipples. Breast milk has antibacterial properties and can promote healing, making it a natural and safe remedy for nipple soreness.

E) Change the infant's position on the nipples:

Changing the infant's position on the nipples can help prevent further irritation and soreness. Experimenting with different breastfeeding positions, such as the football hold or side-lying position, can distribute pressure more evenly on the nipples and promote better latch and feeding efficiency.

A. "There are so many variables that you'll have to ask your obstetrician."

This response dismisses the client's question and fails to provide helpful information. While the client should discuss their specific situation with their obstetrician, the nurse should still offer some general guidance or information.

B. "The primary consideration is what type of incision was performed this time."

This is the correct response because it provides relevant information to the client's question. The type of incision made during the cesarean birth can influence the options for future deliveries. For example, a low transverse incision may make a vaginal birth after cesarean (VBAC) more likely, whereas a vertical incision might increase the likelihood of needing a repeat cesarean.

C. "A repeat cesarean birth is safer for both you and your baby."

This statement may not be accurate for all clients and situations. While repeat cesarean births are sometimes recommended for medical reasons, such as certain pregnancy complications or a previous cesarean with a vertical incision, it is not necessarily the safest option for all clients. This response also lacks consideration of the client's individual circumstances.

D. "It's too soon for you to be worrying about this now."

This response invalidates the client's concerns and fails to address their question. It's important to validate the client's feelings and provide them with accurate information to address their concerns.