A home health nurse is teaching a client who is breastfeeding about managing breast engorgement. Which of the following client statements indicates understanding of the teaching?
"I'll feed my baby every 2 hours."
"I'll apply cold compresses 20 minutes before each feeding."
"I'll try drinking an herbal tea to reduce the engorgement."
"I'll let my baby drain one breast at each feeding."
The Correct Answer is A
Feeding the baby every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement by reducing milk stasis and promoting milk production regulation.
Applying cold compresses before feeding may temporarily reduce discomfort but does not address the underlying cause of engorgement or promote milk removal.
Drinking herbal tea is not proven to effectively reduce breast engorgement, and it is important for the client to focus on frequent breastfeeding or pumping to alleviate engorgement.
Allowing the baby to drain one breast at each feeding may lead to uneven milk production and exacerbate engorgement. It is important for the client to offer both breasts at each feeding to ensure adequate milk removal from both breasts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Keeping the baby's head elevated while feeding helps prevent choking and allows for easier swallowing.
B. Tipping the nipple to allow air during feeding is not recommended as it can lead to ingestion of air, causing discomfort and gas in the baby.
C. Allowing the baby to burp several times during each feeding helps release swallowed air, reducing the risk of colic and discomfort.
D. Soft, formed yellow stools are typical for a formula-fed newborn, indicating proper digestion.
Correct Answer is D
Explanation
A. Molding refers to the shaping of the fetal head during labor and delivery to facilitate passage through the birth canal. It typically resolves within a few days and does not involve bruising.
B. Caput succedaneum is localized swelling or edema of the scalp that crosses suture lines and typically resolves within a few days. It is not associated with bruising.
C. Pilonidal dimple refers to a small pit or depression in the skin, typically at the base of the spine, and is not related to the finding described.
D. Cephalhematoma is a collection of blood between the skull bone and its periosteum. It is
confined by suture lines and may take weeks to resolve. It does not cross suture lines and may be associated with bruising due to birth trauma.
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