A nurse is preparing to collect a specimen for newborn screening.
Which of the following actions should the nurse take?

Choice A rationale

White blood cell count is not an indicator of anemia. It measures immune function and can indicate infection or inflammation.

Choice B rationale

Urine specific gravity does not identify the risk for pregnancy-induced hypertension. It measures the concentration of urine and can indicate hydration status.

Choice C rationale

Sedimentation rate does not check for signs of cancer. It measures inflammation in the body and can indicate various conditions.

Choice D rationale

Platelet count identifies if the client is at risk for bleeding. Low platelet levels can indicate a higher risk of bleeding and are important to monitor during pregnancy. .

The correct answer is Choice A

Choice A rationale: Using a breast pump helps maintain milk supply and prevent milk stasis, which reduces the risk of developing mastitis. Mastitis is an infection of the breast tissue that can cause pain, swelling, warmth, and redness.

Choice B rationale: Covering breasts immediately after feedings does not directly prevent mastitis. Proper hygiene and ensuring complete breast emptying are more effective measures for preventing mastitis. Covering may trap moisture and bacteria, potentially leading to infection.

Choice C rationale: Wearing an underwire bra between feedings can restrict milk flow and cause clogged ducts, increasing the risk of mastitis. Non-restrictive, well-fitting bras are recommended to ensure proper milk drainage and breast comfort.

Choice D rationale: Washing nipples with soap and water daily can strip natural oils, causing dryness and cracks. Cracked nipples are entry points for bacteria, increasing mastitis risk. Instead, cleaning with plain water is recommended to maintain nipple integrity.