Author Question: The nurse is providing discharge counseling to a woman who is breastfeeding her baby. The nurse ... (Read 55 times)

TFauchery · **on:** Jun 28, 2018

The nurse is providing discharge counseling to a woman who is breastfeeding her baby. The nurse advises the woman that if she experiences unilateral breast inflammation, she should do which of the following?

a. Apply warm soaks to the reddened area.
b. Consume an herbal galactagogue.
c. Bottle feed the baby during the next day.
d. Take expressed breast milk to the laboratory for analysis.

Question 2

A woman is 2 days postpartum from a normal vaginal delivery over an intact perineum of a 3000-gram baby. Where would the nurse expect to palpate the client's fundus?

a. At the umbilicus
b. 2 cm below the umbilicus
c. 2 cm above the symphysis
d. At the symphysis

allisonblackmore · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: a
Feedback
a. The client may be developing mastitis. She should apply warm soaks to the area.
b. There is no need for a galactagogue.
c. It is essential that the client continue to breastfeed. If she were to stop feeding, she could develop a breast abscess.
d. Unless ordered by the physician, the milk need not be cultured.

Answer to Question 2

ANS: b
Feedback
a. Expected location for 6 to 12 hours postpartum.
b. The firm fundus should be 2 cm below the umbilicus.
c. This is an abnormal finding and may be related to subinvolution of the uterus.
d. Expected location for 6 days postpartum.