Author Question: A primipara client who is bottle feeding her baby begins to experience breast engorgement on her ... (Read 164 times)

809779 · **on:** Jun 27, 2018

A primipara client who is bottle feeding her baby begins to experience breast engorgement on her third postpartum day. Which instruction would be most appropriate to aid in relieving her discomfort?

A) Express some milk from your breasts every so often to relieve the distention..
B) Remove your bra to relieve the pressure on your sensitive nipples and breasts..
C) Apply ice packs to your breasts to reduce the amount of milk being produced..
D) Take several warm showers daily to stimulate the milk let-down reflex..

Question 2

When assessing a newborn's 5-minute Apgar score, how will the nurse determine reflex irritability?

A) Dorsiflexing a foot against pressure resistance
B) Raising the infant's head and letting it fall back
C) Tightly flexing the infant's trunk and then releasing it
D) Slapping the soles of the feet and observing the response

kaykay69 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
For the woman with breast engorgement who is bottle feeding her newborn, encourage the use of ice packs to decrease pain and swelling. Expressing milk from the breasts and taking warm showers would be appropriate for the woman who was breast-feeding. Wearing a supportive bra 24 hours a day also is helpful for the woman with engorgement who is bottle feeding.

Answer to Question 2

D
Feedback:
One of two possible cues is used to evaluate reflex irritability: response to a suction catheter in the nostrils or response to having the soles of the feet slapped. Reflex irritability is not assessed by dorsiflexing the foot, permitting the head to fall, or flexing the infant's trunk and releasing it.