The postpartum nurse is performing a home care visit to a ...

[torybrooks]

The postpartum nurse is performing a home care visit to a first-time mother on her third day after delivery. She reports that her nipples are becoming sore. What statement indicates that further teaching is needed?
 
  1. I should try to keep the baby awake, and not let him stay latched onto the breast when he is asleep.
  2. Watching how much areola is visible will help me see if he has a good mouthful of breast or not.
  3. My nipples will heal if I switch to bottle-feeding for about three days while I pump my breasts.
  4. Rotating breastfeeding positions will allow the sore areas of my nipples to have less friction.

Question 2

The new mother hesitantly asks the nurse at the six-week postpartum visit about resumption of sexual activity. To promote comfort, the nurse suggests:
 
  1. The female superior position.
  2. Using Vaseline for lubrication.
  3. The male superior position.
  4. Douching before and after, to avoid infection.

[ErinKing]

Answer to Question 1

3
Rationale:
1. This strategy will help prevent or heal nipple soreness.
2. This strategy will determine whether the baby is slipping down so that he is latched on just to the nipple instead of the areola. Babies need to be latched fully onto the areola to heal nipple soreness.
3. Switching to formula-feeding and breast-pumping is a last resort, and will decrease milk supply. Watching the latch is more important.
4. This statement is true.

Answer to Question 2

1
Rationale:
1. The female superior position puts the least amount of pressure against the healing perineum, and creates more control of movement for the woman.
2. Using Vaseline for lubrication is not recommended, as it is not water-soluble. K-Y Jelly is the recommended lubricant.
3. The male superior position creates more pressure on the perineum.
4. Douching before and after to avoid infection is never recommended.