A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Which of the following statements by the client indicates a need for further teaching?.
"I should crush cabbage leaves and place them on my breasts.”. .
"I should apply hot packs to my breasts during feeding.”. .
"I will apply ice packs to my breasts after feeding.”. .
"I will breastfeed every 2 hours.”.
The Correct Answer is B
The correct answer is choice B.
Choice A rationale:
Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.
Choice B rationale:
Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.
Choice C rationale:
Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.
Choice D rationale:
Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Sitz baths cause perineal vasodilation, not vasoconstriction, and this does not directly affect bleeding.
Choice B rationale:
The duration of a sitz bath does not necessarily correlate with its therapeutic effect.
Choice C rationale:
Sitz baths increase the blood supply to the perineal area, promoting healing and providing relief from discomfort.
Choice D rationale:
Sitz baths do not increase the risk of postpartum infection when done properly.
Correct Answer is B
Explanation
The correct answer is choice B.
Choice A rationale:
Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.
Choice B rationale:
Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.
Choice C rationale:
Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.
Choice D rationale:
Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not placenta previa.
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