A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill." Which of the following statements should the nurse make?

"Progestin-only birth control pills are preferred for contraception during lactation."

"Taking birth control pills while breastfeeding can increase your risk for breast cancer.

"You do not need birth control pills as long as you are lactating."

"Birth control pills are contraindicated for breastfeeding clients."

Answer and Explanation

The Correct Answer is A

A)   Correct - "Progestin-only birth control pills are preferred for contraception during lactation." Progestin-only pills are generally considered safer for breastfeeding mothers as they are less likely to affect milk supply.
B)   Incorrect- There is no strong evidence suggesting that taking birth control pills while breastfeeding increases the risk of breast cancer.
C)   Incorrect- While breastfeeding can have contraceptive effects, relying solely on breastfeeding for contraception is not a foolproof method. It's recommended to use additional birth control methods if desired.
D)   Incorrect- Birth control pills are not contraindicated for breastfeeding clients, especially if they are progestin-only pills. The preferred method, however, is progestin-only rather than combined hormonal pills.

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Correct Answer is C

Explanation

A) Incorrect- Keeping the cord covered with a diaper is not recommended, as it can trap moisture and delay cord drying.
B) Incorrect- Cleaning the cord with antibacterial soap is not necessary and can actually interfere with the natural drying process.
C) Correct - Notifying the provider about odor coming from the cord is important, as it could indicate infection.
D) Incorrect- Some oozing of blood is normal as the cord stump dries, but bright red bleeding might be a sign of a problem and should be evaluated by a healthcare provider.

A. Advise the client to avoid using a breast pump B. Provide the client with ice packs for her breasts. C. Encourage the client to wear a loose-fitting bra. D. Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

Correct Answer is D

Explanation

A) Incorrect- Using a breast pump can actually help relieve breast engorgement by expressing excess milk, so this advice is not appropriate.
B) Incorrect- Applying ice packs to the breasts can decrease milk production and might not provide as much relief as other interventions.
C) Incorrect- Wearing a supportive, well-fitting bra is a good recommendation, but it might not provide enough relief for breast engorgement on its own.
D) Correct - Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

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A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill." Which of the following statements should the nurse make?

Nursing Test Bank

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