A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed.
Which of the following instructions should the nurse include in the teaching?
"Apply ice packs to your breasts using a 15 minutes on, 45 minutes off schedule.”
"Shower daily, allowing warm water to run directly over your breasts.”
"Wear a loose-fitting nonbinding bra for 72 hours.”
"Pump your breasts twice daily to relieve discomfort from engorgement.”
The Correct Answer is A
“Apply ice packs to your breasts using a 15 minutes on, 45 minutes off schedule.”
This can help reduce swelling and relieve discomfort from engorgement.
Choice B is incorrect because warm water can increase blood flow and may worsen engorgement.
Choice C is incorrect because a supportive bra can help reduce discomfort from engorgement.
Choice D is incorrect because pumping can stimulate milk production and may worsen engorgement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should instruct the client to have her provider refit her for a diaphragm.
After childbirth, a woman’s body undergoes changes that may affect the fit of her diaphragm.
It is recommended that a woman be refited for a diaphragm around 6 weeks postpartum, when the uterus and cervix have returned to normal size.
Choice A is incorrect because oil-based lubricants can damage the diaphragm and reduce its effectiveness.
Water-based lubricants should be used instead.
Choice B is incorrect because storing a diaphragm in sterile water is not necessary.
The diaphragm should be washed with mild soap and water after each use and air-dried before being stored in its case.
Choice C is incorrect because the diaphragm should be kept in place for at least 6 hours after intercourse, not 4 hours.
Correct Answer is D
Explanation
The nurse should obtain a maternal serum alpha-fetoprotein (MSAFP) specimen for a client at 12 weeks of gestation.
MSAFP is a screening tool used to identify fetal neural tube defects (NTDs) such as spina bifida and anencephaly.
Elevated levels of MSAFP indicate an increased risk for NTDs, while low levels indicate an increased risk for chromosomal abnormalities such as Down syndrome.
Administering rubella vaccine (A) is contraindicated during pregnancy as it is a live vaccine and can cause fetal harm.
Administering ceftriaxone IM (B) and obtaining a blood culture (C) are not indicated based on the information provided about the client.
The client's allergy to penicillin is not relevant to the nurse's immediate action.
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