A nurse is assessing a postpartum client who delivered vaginally without complications and has chosen not to breastfeed her newborn infant.

Which of these findings would indicate that lactation suppression has been successful?

Breasts are soft without engorgement or leakage

Breasts are firm with mild tenderness or leakage

Breasts are hard with moderate pain or leakage

Breasts are swollen with severe pain or leakage.

Answer and Explanation

The Correct Answer is A

Breasts are soft without engorgement or leakage. This indicates that lactation suppression has been successful and the woman is not experiencing any discomfort or risk of infection from milk accumulation.

Breasts are firm with mild tenderness or leakage is wrong because it suggests that lactation is still occurring and the woman may need to express some milk for comfort or use other non-pharmacological methods to suppress it.

Breasts are hard with moderate pain or leakage is wrong because it indicates that the woman is suffering from breast engorgement, which can lead to mastitis if not treated. The woman may need pharmacological intervention to suppress lactation and relieve pain.

Breasts are swollen with severe pain or leakage is wrong because it shows that the woman has developed mastitis, which is a bacterial infection of the breast tissue that requires antibiotics and analgesics. The woman may also need to drain the infected breast by expressing milk or using a pump.

Normal ranges for lactation suppression vary depending on the individual and the method used. Generally, lactation suppression can take from a few days to a few weeks.

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Correct Answer is C

Explanation

Hold the newborn in a semi-upright position during feeding.This prevents the formula from flowing back into the baby’s ears and causing infections.It also helps the baby swallow less air and reduces the risk of choking.

Choice A is wrong because warming the formula in a microwave oven can create hot spots that can burn the baby’s mouth.The formula should be warmed by running it under warm tap water or placing it in a bowl of warm water.

Choice B is wrong because discarding any unused formula after 2 hours at room temperature is too long.Bacteria can grow rapidly in warm milk that is left sitting out and unused.The formula should be discarded after one hour at room temperature or within 24 hours if refrigerated.

Choice D is wrong because burping the newborn after finishing each ounce of formula is not necessary.Burping can interrupt the feeding and make the baby lose interest in finishing the bottle.The baby should be burped only when they show signs of discomfort or after finishing the feeding.

Normal ranges for formula intake vary depending on the baby’s age, weight and appetite.In general, newborn babies need around 150 to 200 ml per kilo of their weight a day until they’re 6 months old.The baby should be fed when they show signs of hunger, such as rooting, sucking or crying, and not forced to finish the bottle if they are full.

A. Meat B. Yogurt C. Broccoli D. Mango

Correct Answer is A

Explanation

Meat is a good source of zinc for infants who are six months old and exclusively breastfed.Zinc is a mineral that is important for immune function, wound healing, and the senses of smell and taste.Children 7 to 24 months need 3 mg of zinc each day.

Choice B is wrong because yogurt is not a good source of zinc for infants.Yogurt is a dairy product that contains some zinc, but not as much as meat.

Choice C is wrong because broccoli is not a good source of zinc for infants.Broccoli is a vegetable that contains very little zinc.

Choice D is wrong because mango is not a good source of zinc for infants.Mango is a fruit that contains almost no zinc.

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A nurse is assessing a postpartum client who delivered vaginally without complications and has chosen not to breastfeed her newborn infant. Which of these findings would indicate that lactation suppression has been successful?

Nursing Test Bank

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A nurse is preparing to bottle feed a newborn who is formula fed. Which of the following actions should the nurse take?

Correct Answer is C

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Correct Answer is A

Explanation

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A nurse is assessing a postpartum client who delivered vaginally without complications and has chosen not to breastfeed her newborn infant.

Which of these findings would indicate that lactation suppression has been successful?