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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E","F"]
Explanation
The correct answers are choices B, E, and F.
Choice A rationale:
Nausea with vomiting during the first trimester is a common symptom of pregnancy and does not need to be reported immediately to the health care provider.
Choice B rationale:
Sudden leakage of fluid during the second trimester could indicate premature rupture of membranes, which can lead to infection and preterm labor. This should be reported immediately.
Choice C rationale:
Urinary frequency in the third trimester is a common symptom of pregnancy due to the growing uterus putting pressure on the bladder.
Choice D rationale:
Backache during the second trimester is a common symptom of pregnancy as the body adjusts to the growing uterus.
Choice E rationale:
Lower abdominal pain with shoulder pain in the first trimester could indicate an ectopic pregnancy, which is a medical emergency and should be reported immediately.
Choice F rationale:
Headache with visual changes in the third trimester could indicate preeclampsia, a serious condition that can lead to seizures, stroke, and other complications. This should be reported immediately.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
While Vitamin E is important for many bodily functions, it is not the primary supplement recommended to prevent neural tube defects.
Choice B rationale:
Calcium is crucial for bone health, but it does not play a direct role in preventing neural tube defects.
Choice C rationale:
Folic acid is recommended for all people capable of becoming pregnant to consume 400 micrograms (mcg) daily to prevent neural tube defects (NTDs)3.
Choice D rationale:
Iron is important for preventing anemia, especially during pregnancy, but it does not prevent neural tube defects.
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