On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?
Remove the client's bra
Alternate with warm compresses and ice packs to the breasts
Administer acetaminophen as prescribed
Limit breastfeeding to twice a day
The Correct Answer is B
A. Remove the client's bra: Incorrect. A well-fitted supportive bra helps reduce discomfort and swelling. Removing the bra may increase pain and worsen engorgement.
B. Alternate with warm compresses and ice packs to the breasts: Correct. Warm compresses before breastfeeding help with milk flow, and cold compresses after feeding reduce swelling and discomfort.
C. Administer acetaminophen as prescribed: Incorrect. While pain relief can help, it does not directly address the engorgement.
D. Limit breastfeeding to twice a day: Incorrect. Frequent breastfeeding or pumping is encouraged to relieve engorgement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. G2P1 (second pregnancy, one prior birth) may experience some afterbirth pains, but G3P2 is at higher risk.
B. Multiparous clients (those who have had multiple pregnancies) are more likely to experience stronger afterbirth pains due to repeated uterine stretching and contractions. Additionally, delivering a large baby (macrosomia) increases uterine involution and associated pain.
C. First-time mothers (G1P1) typically experience milder afterbirth pains due to a less stretched uterus.
D. G3P0 (three pregnancies, no births) suggests preterm labor without full-term delivery, making afterbirth pains unlikely.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
The nurse should recognize that the client is at risk of postpartum hemorrhage due to polyhydramnios.
Risk:
Postpartum Hemorrhage (PPH): The client has polyhydramnios and multiple gestation, which cause uterine overdistension. Overdistension increases the risk of uterine atony postpartum, a leading cause of PPH. Other contributing factors are the large uterine fibroids and a history of preterm labor.
Probable Cause:
Polyhydramnios: AFI of 30 cm indicates polyhydramnios, which is excess amniotic fluid.
Multiple gestation (twins) is a common cause of polyhydramnios. Polyhydramnios increases the risk of preterm labor, cord prolapse, and PPH.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.