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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
The nurse should assess for proper latch-on technique and encourage skin-to-skin contact between mother and infant.
These actions promote successful breastfeeding and bonding.
Choice C is wrong because limiting feeding time to 10 min per breast can interfere with the infant’s intake of hindmilk, which is rich in fat and calories.The infant should be allowed to nurse until satisfied, which may take longer than 10 min per breast.
Choice D is wrong because instructing the client to offer both breasts at each feeding can lead to nipple soreness and engorgement.The client should offer one breast until it is emptied, then switch to the other breast if the infant is still hungry.
Choice E is wrong because advising the client to feed the infant every 2 to 3 hr can disrupt the infant’s natural feeding cues and rhythms.The client should feed the infant on demand, which may be more or less frequent than every 2 to 3 hr.
Correct Answer is B
Explanation
Grilled cheese sandwich with tomato soup.This food choice indicates an understanding of the teaching because it is low in purines, which are chemicals that break down into uric acid and can trigger gout attacks.
Some additional information for the response are:
• Choice A.Liver and onions with mashed potatoes is wrong because liver is an organ meat that is high in purines and should be avoided by people with gout.
• Choice C.Roast beef with green beans and rice is wrong because roast beef is a red meat that is high in purines and should be limited by people with gout.
• Choice D.Sardines on whole wheat crackers with cheese is wrong because sardines are a type of oily fish that is high in purines and should be avoided by people with gout.
• A low-purine diet for gout management should include fruits, vegetables, whole grains, legumes, nuts, and low-fat dairy products.It should also limit sugar, alcohol, and meat consumption.
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