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 A
Explanation
The correct answer is choice A.
Choice A rationale:
The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.
Choice B rationale:
This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.
Choice C rationale:
This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.
Choice D rationale:
This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.
Choice B rationale:
Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.
Choice C rationale:
Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.
Choice D rationale:
While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.
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