Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:

B. Report the client's temperature elevation. This is not a priority action because the client's temperature is only slightly elevated and could be due to dehydration or normal postpartum changes. The nurse should monitor the temperature and report it if it persists or increases.

C. Increase IV fluids. This is not an appropriate action because the client's vital signs are stable and there is no evidence of excessive blood loss or shock. Increasing IV fluids could cause fluid overload or interfere with breastfeedinG.

D. Encourage the client to nurse more frequently so her milk will come in. This is not a relevant action because the client's breasts are soft, indicating that the milk has not come in yet. Nursing more frequently will not hasten the onset of lactation and could cause nipple soreness or engorgement. The nurse should support the client's breastfeeding efforts and provide education on proper latch and positioninG.

A. Call the lactation consultant to visit the patient

Rationale: A lactation consultant is a specialized professional who can provide expert guidance on breastfeeding techniques and troubleshooting latching issues. They can offer personalized assistance and support to ensure proper latch and feeding.

B. Encourage and support the mother's desire/intention and include the partner in the conversation

Rationale: Providing emotional support and encouragement is crucial. Including the partner helps create a supportive environment for the mother and ensures that everyone is on the same page regarding breastfeeding goals and practices.

E. Check for audible swallowing and a comfortable (non-painful) suck

Rationale: Ensuring that the baby is swallowing and that the mother is not experiencing pain during feeding indicates that the latch may be correct. This helps confirm that the baby is feeding effectively and that the mother is comfortable.

Not Recommended:

C. Give the mother a bottle of formula to supplement

Rationale: Introducing formula supplementation is not necessary if the goal is exclusive breastfeeding. This step might undermine the mother's confidence or interfere with the baby's ability to latch properly.

D. Help the mother shove her nipple in the baby's mouth

Rationale: This approach can cause discomfort and may not address the underlying issue of improper latching. It is better to use techniques that encourage a natural and comfortable latch.

Note:

F. Assist with proper positioning and latch techniques"

Rationale:Proper positioning ensures the baby is comfortably aligned with their head in line with their body, and the baby is brought to the breast, not vice versa.

A good latch involves the baby opening their mouth wide to take in the nipple and a portion of the areola, which helps with milk transfer and reduces discomfort. Proper latch prevents pain and supports milk production.