The postpartum home care nurse has four visits to make to ...

[madam-professor]

The postpartum home care nurse has four visits to make to breastfeeding mothers. Which client is experiencing an expected outcome?
 
  1. Breasts are engorged; placing fresh cabbage leaves inside her bra
  2. Sore and cracked nipples; using baby oil to facilitate healing
  3. Frequent breast leakage; changing breast pads once per day
  4. Concerns about milk supply; supplementing with formula

Question 2

A client has just been admitted for labor and delivery. She is having mild contractions every 15 minutes lasting 30 seconds. The client wants to have a medication-free birth.
 
  When discussing medication alternatives, the nurse should be sure the client understands that: 1. In order to respect her wishes, no medication will be given.
  2. Pain relief will allow a more enjoyable birth experience.
  3. The use of medications allow the client to rest and be less fatigued.
  4. Maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.

[jesse.fleming]

Answer to Question 1

1
Rationale:
1. Fresh green cabbage leaves help reduce engorgement.
2. Baby oil and other petroleum-based products should be avoided during breastfeeding, as they prolong nipple soreness, and must be washed off prior to feeding, which also increases nipple trauma.
3. Breast pads should be changed every few hours, as breast milk is warm and rich in nutrients that bacteria find ideal for growth, which could lead to infection.
4. Breast milk supply is regulated by demand. If a baby receives formula supplements after nursing, he will not nurse as often as he would have had he only received breast milk. This leads to decreased milk production. To increase milk production, mothers should be told to increase their fluid intake and nurse the infant more frequently.

Answer to Question 2

4
Rationale:
1. It is important to respect the client's wishes when possible. Once the effects are explained, it is still the client's choice whether to receive medication.
2. While pain relief can lead to a more enjoyable experience, it might be the view of the nurse but not the mother.
3. While pain relief can allow the mother to be less fatigued, it might be the view of the nurse but not the mother.
4. The decision not to medicate should be an informed one, and it is possible that the client does not know about the effects pain and stress can have on the fetus. Once the effects are explained, it is still the client's choice whether to receive medication.

[madam-professor]

Correct answers!

[jesse.fleming]

Great! Please up vote