To prevent breast engorgement, the new breastfeeding mother ...

[faduma]

To prevent breast engorgement, the new breastfeeding mother should be instructed to
 
  a. Apply cold packs to the breast before feeding.
  b. Breastfeed frequently and for adequate lengths of time.
  c. Limit her intake of fluids for the first few days.
  d. Feed her infant no more than every 4 hours.

Question 2

What should the nurse recognize as a possible indicator of child abuse in a 4-year-old child being treated for ear pain at the emergency department on a chilly Christmas Day in New York State? Select all that apply.
 
  a. The child extends his arms to be hugged by the nurse.
  b. The child is wearing clean, baggy shorts, sandals, and an oversized T-shirt.
  c. The child answers all questions in complete sentences, and smiles afterward.
  d. The child has dirty, broken teeth.
  e. The child states I'm so fat when the nurse tells his mother he weighs 25 lb.

[angrybirds13579]

Answer to Question 1

B
Feedback
A Warm packs should be applied to the breast before feedings.
B Engorgement occurs when the breasts are not adequately emptied at each feeding
or if feedings are not frequent enough.
C Fluid intake should not be limited with a breastfeeding mother; that will decrease
the amount of breast milk produced.
D Breast milk moves through the stomach within 1.5 to 2 hours, so waiting 4 hours
to feed is too long. Frequent feedings are important to empty the breast and to
establish lactation.

Answer to Question 2

B, D, E
Feedback
Correct These clothes are inappropriate attire for December in New York State.
Even though the clothes are clean, dressing inappropriately for the weather
is a potential indicator of child abuse. Clothing that is too large or small
for the child's size also requires further evaluation. Dirty, broken teeth are
an indicator of potential child abuse. A child who is 4 years old and
weighs only 25 lb is thin for his age. Body image distortion (being thin but
describing self as fat) is a potential indicator of child abuse. A child who is
too thin for his height should also be further evaluated.
Incorrect Although it may be unusual for this child to want to hugged by the nurse,
it is not an indicator of child abuse. Answering questions using complete
sentences and smiling is appropriate for a 4-year-old.

[faduma]

Thanks for the timely response, appreciate it

[Bigfoot1984]

Excellent