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 will apply ice packs to my breasts after feeding."
"I should apply hot packs to my breasts during feeding."
"I should crush cabbage leaves and place them on my breasts."
"I will breastfeed every 2 hours."
The Correct Answer is B
A. Applying ice packs to the breasts after feeding can help reduce swelling and discomfort associated with breast engorgement.
B. Applying hot packs to the breasts during feeding can increase blood flow and exacerbate engorgement. Heat can worsen inflammation and discomfort in the breasts.
C. Crushed cabbage leaves can be applied to the breasts between feedings to help reduce swelling and discomfort associated with engorgement.
D. Breastfeeding every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Breast milk typically "comes in" or becomes more abundant between 3 to 5 days after birth as colostrum transitions to mature milk.
B. Within 2 days is too soon for most women to experience their milk "coming in."
C. 6 to 8 days is later than the typical timeframe for milk production to increase significantly.
D. About 10 days is longer than the average time for breast milk to "come in" for most postpartum women.
Correct Answer is A
Explanation
A. The fundus palpable to the right of midline suggests that the bladder is distended and pushing the uterus to the right, displacing it from its expected midline position.
B. Less than 2.5 cm of rubra lochia on the perineal pad is a normal amount of lochia for 2 hours postpartum and does not necessarily indicate bladder distention.
C. Client report of frequent uterine contractions may indicate uterine involution but does not directly assess bladder distention.
D. Client report of increased thirst may indicate dehydration but does not directly assess bladder distention.
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