A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

A. "There are so many variables that you'll have to ask your obstetrician."

This response dismisses the client's question and fails to provide helpful information. While the client should discuss their specific situation with their obstetrician, the nurse should still offer some general guidance or information.

B. "The primary consideration is what type of incision was performed this time."

This is the correct response because it provides relevant information to the client's question. The type of incision made during the cesarean birth can influence the options for future deliveries. For example, a low transverse incision may make a vaginal birth after cesarean (VBAC) more likely, whereas a vertical incision might increase the likelihood of needing a repeat cesarean.

C. "A repeat cesarean birth is safer for both you and your baby."

This statement may not be accurate for all clients and situations. While repeat cesarean births are sometimes recommended for medical reasons, such as certain pregnancy complications or a previous cesarean with a vertical incision, it is not necessarily the safest option for all clients. This response also lacks consideration of the client's individual circumstances.

D. "It's too soon for you to be worrying about this now."

This response invalidates the client's concerns and fails to address their question. It's important to validate the client's feelings and provide them with accurate information to address their concerns.

A) Assist the family to identify prior use of positive coping skills in family crises:

While assessing coping skills is important, it is not the priority when a client expresses feelings of sadness and potential postpartum depression. The immediate concern is ensuring the safety and well-being of both the mother and newborn.

B) Reinforce postpartum and newborn care discharge teaching:

Reinforcing discharge teaching may be important for overall postpartum care, but it is not the priority when the client is exhibiting symptoms of postpartum depression. Addressing the client's emotional state and safety is more urgent.

C) Anticipate a prescription by the provider for an antidepressant:

While antidepressants may be indicated for postpartum depression, the priority is to assess the client's current state and ensure immediate safety. Initiating medication should be based on a comprehensive assessment and provider's evaluation.

D) Ask the client if she has considered harming her newborn:

This is the priority action. When a client reports feelings of sadness, lack of energy, and wanting to cry, along with other symptoms of postpartum depression, it is crucial to assess for potential harm to herself or her newborn. This question helps determine the severity of the situation and whether immediate intervention is necessary to ensure the safety of both mother and child.