A nurse is assisting a client with breastfeeding.
Which of the following reflexes will promote the newborn to latch?

Choice A rationale

Perineal care for a client who just transferred from labor and delivery is within the scope of practice for a certified nursing assistant (CNA). CNAs are trained to provide basic care, such as hygiene and assistance with activities of daily living, to postpartum clients.

Choice B rationale

Monitoring an area of redness on the incision of a Cesarean section client requires clinical assessment skills beyond the scope of a CNA. It involves evaluating the incision for signs of infection or other complications, which is the responsibility of a registered nurse.

Choice C rationale

Providing discharge instructions, such as using a sitz bath, requires teaching and evaluation skills. Registered nurses are responsible for providing education and ensuring client understanding before discharge.

Choice D rationale

Monitoring for signs of pre-eclampsia involves assessment and interpretation of symptoms such as blood pressure, edema, and proteinuria, which are beyond the scope of a CNA. This is a responsibility of a registered nurse.

Choice A rationale

Breast milk typically "comes in" within 3 to 5 days postpartum due to hormonal changes, particularly the increase in prolactin and decrease in progesterone.

Choice B rationale

Breast milk usually does not come in within 2 days postpartum because the hormonal changes required take a bit more time to occur.

Choice C rationale

Breast milk coming in around 10 days postpartum is later than usual and may indicate a delay or complication in lactation.

Choice D rationale

Breast milk coming in 6 to 8 days postpartum is somewhat later than the typical 3 to 5 day range, potentially indicating a minor delay in lactation.