A patient has decided to bottle-feed her twins.The nurse should give this patient which instruction to help alleviate breast engorgement?
Manually express colostrum as necessary.
Apply hot compresses to the breasts.
Massage the breast tissue surrounding the areola.
Wear a supportive bra.
The Correct Answer is D
The correct answer is choice D. Wear a supportive bra. This will help suppress lactation and reduce the discomfort of engorgement.
The other choices are wrong because:
• Choice A. Manually express colostrum as necessary. This will stimulate milk production and prolong engorgement.
• Choice B. Apply hot compresses to the breasts. This will increase blood flow and swelling in the breasts and worsen engorgement.
• Choice C. Massage the breast tissue surrounding the areola. This will also stimulate milk production and prolong engorgement.
Normal ranges for breast engorgement are not applicable as it is a subjective experience that varies among women. However, some signs of engorgement include firm, tender, swollen breasts, flat or inverted nipples, and low-grade fever. Engorgement usually resolves within 24 to 36 hours after it begins.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Urine testing is the best indication of whether my blood sugar is under control. This is wrong because urine testing only reflects the blood sugar level at the time of urination, not the current level.
It also does not detect low blood sugar levels (hypoglycemia), which can be dangerous for the mother and the baby.
The best way to monitor blood sugar levels during pregnancy is to use a glucometer, which measures the blood glucose level from a drop of blood.
Choice A is correct because insulin requirements usually increase during pregnancy due to hormonal changes and increased insulin resistance.
The patient may need to adjust her insulin dose according to her blood glucose levels and dietary intake.
Choice B is correct because the patient needs to eat a balanced diet that provides adequate calories and nutrients for herself and the baby.
She may need to consult a dietitian to plan her meals and snacks according to her blood glucose levels and insulin regimen.
Choice D is correct because regular exercise can help lower blood glucose levels, improve insulin sensitivity, and prevent excessive weight gain during pregnancy.
The patient should consult her healthcare provider before starting or changing her exercise routine.
Correct Answer is C
Explanation
The correct answer is choice C: Related to the influence of maternal hormones.This is because breast milk contains many hormones that pass into it from the mother’s body, such as prolactin, thyroid hormones, and estrogen.
These hormones can affect the baby’s growth and development, and sometimes cause temporary breast enlargement and milk secretion in newborns of both sexes.This is called neonatal galactorrhea or “witch’s milk” and it is harmless and usually resolves within a few weeks
Choice A is wrong because neonatal galactorrhea is not a symptom of an endocrine disorder.It is a normal physiological response to maternal hormones that cross the placenta during pregnancy and are present in breast milk
Choice B is wrong because neonatal galactorrhea is not related to the need for chromosomal determination of gender identity.Gender identity is determined by a complex interaction of genetic, hormonal, and environmental factors, and it is not influenced by breast milk production in newborns
Choice D is wrong because neonatal galactorrhea is not a symptom of an abnormal proliferation of mammary alveoli.
Mammary alveoli are the milk-producing cells in the breast, and they are stimulated by prolactin to secrete milk.Neonatal galactorrhea does not indicate any abnormality in the structure or function of the mammary glands
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