Which recommendation should the nurse make to a client to ...

[Lisaclaire]

Which recommendation should the nurse make to a client to initiate the milk ejection reflex?
 
  a. Wear a well-fitting firm bra.
  b. Drink plenty of fluids.
  c. Place the infant to the breast.
  d. Apply cool packs to the breast.

Question 2

Which woman is most likely to continue breastfeeding beyond 6 months?
 
  a. A woman who avoids using bottles
  b. A woman who uses formula for every other feeding
  c. A woman who offers water or formula after breastfeeding
  d. A woman whose infant is satisfied for 4 hours after the feeding

[stanleka1]

Answer to Question 1

ANS: C
Oxytocin, which causes the milk let-down reflex, increases in response to nipple stimulation. A firm bra is important to support the breast but will not initiate the let-down reflex. Drinking plenty of fluids is necessary for adequate milk production but will not initiate the let-down reflex. Cool packs to the breast will decrease the let-down reflex.

Answer to Question 2

ANS: A
Women who avoid using bottles and formula are more likely to continue breastfeeding.
Use of formula decreases breastfeeding time and decreases the production of prolactin and, ultimately, the milk supply. Overfeeding after breastfeeding causes a sense of fullness in the infant, so the infant will not be hungry in 2 to 3 hours. Formula takes longer to digest. The new breastfeeding mother needs to nurse often to stimulate milk production.