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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."

Answer and Explanation

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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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.

A. "Supporting the uterus decreases the amount of pain." B. "This is necessary because the ligaments that hold the uterus are stretched." C. "This will decrease the severity of a uterine bleeding" D. "This will help with uterine involution."

Correct Answer is B

Explanation

A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.

B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.

C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.

D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

Correct Answer is B

Explanation

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

Correct Answer is B

Explanation

A nurse is conducting a teaching session for postpartum patients on the benefits of breastfeeding. The nurse concludes that the patient's have a good understanding of breastfeeding when they make the following statements: (Select All that Apply.)

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