A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse Include in the plan of care for lactation suppression?

Place warm, moist packs on the breasts.

Apply cabbage leaves to the breasts.

Wear a loose-fitting bra.

Put green teabags on the breasts.

Answer and Explanation

The Correct Answer is B

The correct answer is B.

A. Place warm, moist packs on the breasts: Warm, moist packs can increase blood flow and may actually stimulate milk production. This is not an appropriate intervention for lactation suppression.

B. Apply cabbage leaves to the breasts: This is the correct intervention. Cabbage leaves have been traditionally used to help reduce engorgement and suppress lactation. The mechanism is not fully understood, but it is believed that compounds in cabbage may help decrease milk supply.

C. Wear a loose-fitting bra: Wearing a loose-fitting bra can help reduce friction and discomfort, but it is not a specific intervention for lactation suppression.

D. Put green teabags on the breast: Green teabags are not commonly recommended for lactation suppression. Cabbage leaves are more widely accepted for this purpose.

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Correct Answer is C

Explanation

A. The pattern of contractions is important in assessing labor, but the presence of regular contractions alone does not confirm true labor. It is the changes in the cervix that indicate progress in labor.

B. The station of the presenting part (the level at which the baby's head has descended into the pelvis) is also a factor in labor, but it is not the primary indicator of true labor. Changes in the cervix are more indicative.

C. Changes in the cervix are a key sign of true labor.

True labor involves cervical effacement (thinning) and dilation (opening). These changes in the cervix signify progress in the labor process.

D. Rupture of the membranes (water breaking) can be a sign of labor, but it doesn't confirm true labor on its own. It might occur before, during, or after labor has begun.

A. Inform the client the anesthetic effect will last for approximately 6 hr B. Administer a 500 mL bolus of 5% dextrose in water prior to Induction C. Have the client stand at the bedside with her arms at her side. D. Obtain a 30 min electronic fetal monitoring (CFM) strip prior to induction

Correct Answer is B

Explanation

The correct answer is B. Administer a 500 mL bolus of 5% dextrose in water prior to induction.

A. Informing the client that the anesthetic effect will last for approximately 6 hours is not the nurse's responsibility. The anesthesia provider usually communicates this information to the client.

B. Administering a 500 mL bolus of 5% dextrose in water prior to induction is the correct action.

This helps prevent maternal hypotension, which can be a side effect of epidural analgesia. The fluid bolus helps maintain adequate blood pressure for both the mother and the baby.

C. Having the client stand at the bedside with her arms at her side is not necessary for the administration of epidural analgesia. The client is usually positioned sitting up or lying on her side during the procedure.

D. Obtaining a 30-minute electronic fetal monitoring (EFM) strip prior to induction is not a standard requirement for epidural analgesia. However, continuous fetal monitoring is typically initiated after the epidural is placed to assess the baby's well-being during labor.

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A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse Include in the plan of care for lactation suppression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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