Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

Choice A: Placing a soft pillow under the client's buttocks is not an effective action, as it can increase the pressure and the swelling on the perineal area and worsen the pain. The nurse should avoid placing anything under the client's buttocks and encourage the client to lie on the side or sit on a firm surfacE.

Choice B: Preparing a warm sitz bath is not an appropriate action, as it can increase the blood flow and the inflammation on the perineal area and worsen the pain. The nurse should avoid using heat on the perineum for the first 24 hours after delivery and use cold therapy insteaD.

Choice C: Positioning a heating lamp toward the episiotomy is not an appropriate action, as it can cause burns and infections on the perineal area and worsen the pain. The nurse should avoid using heat on the perineum for the first 24 hours after delivery and use cold therapy insteaD.

Choice D: Applying an ice pack to the perineum is an effective action, as it can reduce the blood flow and the inflammation on the perineal area and relieve the pain. The nurse should apply an ice pack wrapped in a towel or a disposable cold pack to the perineum for 10 to 20 minutes every 2 to 4 hours for the first 24 hours after delivery.

Choice A: Copious vaginal bleeding is not a typical sign of ectopic pregnancy. It may occur in some cases, but it is more likely to indicate a miscarriage, placenta previa, or placental abruption.

Choice B: Pelvic pain is the most common symptom of ectopic pregnancy. It usually occurs on one side of the lower abdomen and may be sharp, dull, or crampinG. The pain may worsen with movement or pressurE.

Choice C: Severe nausea and vomiting are not specific to ectopic pregnancy. They may occur in any pregnancy, especially in the first trimester. They may also be caused by other conditions, such as gastroenteritis, food poisoning, or appendicitis.

Choice D: Uterine enlargement greater than expected for gestational age is not a sign of ectopic pregnancy. It may indicate a multiple pregnancy, a molar pregnancy, or a large fibroiD. Ectopic pregnancy usually causes a smaller-than-normal uterus, because the embryo is not implanted in the uterine cavity.