A nurse is caring for a mother who delivered vaginally 2 hr ago. 38 week gestation.Vaginal delivery of a 9-pound 8-ounce baby girl.
Select the 4 findings the nurse should report to the provider.

 

Choice A rationale

Timing pain medication to avoid affecting the baby is important, but discussing pain management options provides a comprehensive approach.

Choice B rationale

Informing that all medications are found in breast milk can cause unnecessary worry without offering a solution.

Choice C rationale

Allowing the option to avoid pain medication doesn't address the need for effective pain management.

Choice D rationale

Discussing pain management options ensures the mother is aware of safe choices that won't harm breastfeeding.

Choice A rationale: Oxytocin is the hormone responsible for the let-down reflex during breastfeeding. It is released from the posterior pituitary gland in response to the baby’s suckling. This hormone causes the milk ducts to contract and eject milk from the alveoli into the ducts, making it available for the baby.

Choice B rationale: Progesterone plays a role in preparing the breast tissue for lactation during pregnancy, but it does not directly trigger the let-down reflex.

Choice C rationale: Hindmilk is the milk produced later in a feeding session, which is richer in fat and calories. It is not a hormone and does not cause the let-down reflex.

Choice D rationale: Foremilk is the initial milk released during breastfeeding, which is higher in water content. It is also not a hormone and does not cause the let-down reflex.