Author Question: A breastfeeding woman develops engorged breasts at 3 days postpartum. Which of the following actions ... (Read 42 times)

clmills979 · **on:** Jun 27, 2018

A breastfeeding woman develops engorged breasts at 3 days postpartum. Which of the following actions would help this woman achieve her goal of reducing the engorgement? The woman:

1. skips feedings to let her sore breasts rest.
2. avoids using a breast pump.
3. breastfeeds her infant every 2 hours.
4. reduces her fluid intake for 24 hours.

Question 2

Concerning the estimating and interpreting of recurrence of risks for genetic disorders, nurses should be aware that:

1. in a dominant disorder the likelihood of the second offspring also having the con-dition is 100.
2. an autosomal recessive disease carries a 1 in 8 risk of the second offspring also having the disorder.
3. those disorders involving maternal ingestion of drugs carry a 1 in 4 chance of be-ing repeated in the second child.
4. the risk factor remains the same no matter how many affected children are already in the family.

iman · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
1. Incorrect. The mother should be instructed to attempt feeding her infant every 2 hours while massaging the breasts as the infant is feeding. Skipping feedings may can further swel-ling and discomfort.
2. Incorrect. If the infant does not feed adequately and empty the breast, the mother may pump to extract the milk and relieve some of the discomfort.
3. Correct. The mother should be instructed to attempt feeding her infant every 2 hours while massaging the breasts as the infant is feeding
4. Incorrect. Dehydration will further irritate swollen breast tissue.

Answer to Question 2

4
1. Incorrect. In a dominant disorder, the likelihood of a recurrence in subsequent offspring is 50 (1 in 2).
2. Incorrect. An autosomal recessive disease carries a 1 in 4 chance of recurrence.
3. Incorrect. Subsequent children would be at risk only if the mother continued to do drugs; the rate of risk would be difficult to calculate.
4. Correct. Each pregnancy is an independent event. The risk factor (1 in 2, 1 in 4, etc.) remains the same for each child no matter how many in the family.