Author Question: On the 3rd day postpartum, a patient who is not breastfeeding experiences engorgement. To relieve ... (Read 119 times)

cookcarl · **on:** Jun 27, 2018

On the 3rd day postpartum, a patient who is not breastfeeding experiences engorgement. To relieve her discomfort, the nurse should encourage the patient to:

1. Remove her bra.
2. Apply heat to the breasts.
3. Apply cold packs to the breasts.
4. Use a breast pump to release the milk.

Question 2

The nurse is teaching a group of young women how to prevent urinary tract infections. Included in the teaching is: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. The importance of good hygiene.
2. How to recognize the manifestations.
3. How to take prescribed antibiotics.
4. Fluids are restricted to 1000 ml.
5. To urinate only when the urge is strong.

Yixagurpuldink · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: A 24-hour support bra is recommended.
Rationale 2: Applying heat would stimulate milk production.
Rationale 3: Applying cold packs to the breasts relieves discomfort and helps suppress lactation.
Rationale 4: Using a breast pump would stimulate milk production and delay the suppression process.

Answer to Question 2

1,2,3
Rationale 1: The nurse should make sure that women are aware of good hygiene practices, and should provide information on other ways to avoid UTI.
Rationale 2: Women need to know the manifestations of UTIs to secure prompt treatment.
Rationale 3: If an infection is present, the woman needs information on how to take antibiotics, and needs to know to complete all of them.
Rationale 4: Fluids should be increased to 25003000 ml per day to decrease the chance of infection.
Rationale 5: Voluntarily suppressing the desire to urinate is a predisposing factor. Retention overdistends the bladder, and can lead to an infection.