A lactation consultant is conducting a teaching session with a new mother about breastfeeding. Which of the client responses would indicate the need for further teaching?
"I will use an alternate breast at each feeding."
"I will wash my breasts with water before each feeding."
"I will try to empty my breasts at each feeding."
"I will wash my breasts with soap and water before feeding."
The Correct Answer is D
A. Alternating breasts ensures equal milk drainage and prevents engorgement.
B. Washing with water is sufficient to maintain hygiene without drying the nipples.
C. Emptying the breasts helps maintain milk supply and prevents engorgement.
D. Soap can strip the natural oils from the nipples, leading to dryness and cracking, which increases the risk of irritation and infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Remove the client's bra: Incorrect. A well-fitted supportive bra helps reduce discomfort and swelling. Removing the bra may increase pain and worsen engorgement.
B. Alternate with warm compresses and ice packs to the breasts: Correct. Warm compresses before breastfeeding help with milk flow, and cold compresses after feeding reduce swelling and discomfort.
C. Administer acetaminophen as prescribed: Incorrect. While pain relief can help, it does not directly address the engorgement.
D. Limit breastfeeding to twice a day: Incorrect. Frequent breastfeeding or pumping is encouraged to relieve engorgement.
Correct Answer is A
Explanation
A. Correct. Engrossment refers to the father's intense interest in the newborn, including focused attention, touching, and bonding behaviors such as counting the baby's fingers and toes.
B. Pacing during delivery may indicate anxiety but does not reflect engrossment.
C. Expressing feeling overwhelmed and avoiding holding the baby suggests difficulty adjusting rather than engrossment.
D. Being present during delivery is supportive but does not specifically indicate engrossment.
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