Author Question: A breastfeeding woman develops engorged breasts at 3 days' postpartum. What action would help this ... (Read 33 times)

xclash · **on:** Jun 28, 2018

A breastfeeding woman develops engorged breasts at 3 days' postpartum. What action would help this woman achieve her goal of reducing the engorgement? The woman:

a. Skips feedings to let her sore breasts rest.
b. Avoids using a breast pump.
c. Breastfeeds her infant every 2 hours.
d. Reduces her fluid intake for 24 hours.

Question 2

A postpartum woman telephones about her 4-day-old infant. She is not scheduled for a weight check until the infant is 10 days old, and she is worried about whether breastfeeding is going well.

Effective breastfeeding is indicated by the newborn who:
a. Sleeps for 6 hours at a time between feedings.
b. Has at least one breast milk stool every 24 hours.
c. Gains 1 to 2 ounces per week.
d. Has at least six to eight wet diapers per day.

voltaire123 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The mother should be instructed to attempt feeding her infant every 2 hours while massaging the breasts as the infant is feeding. Skipping feedings may cause further swelling and discomfort. If the infant does not feed adequately and empty the breast, the mother may pump to extract the milk and relieve some of the discomfort. Dehydration further irritates swollen breast tissue.

Answer to Question 2

ANS: D
After day 4, when the mother's milk comes in, the infant should have six to eight wet diapers every 24 hours. Sleeping for 6 hours between feedings is not an indication of whether the infant is breastfeeding well. Typically infants sleep 2 to 4 hours between feedings, depending on whether they are being fed on a 2- to 3-hour schedule or cluster fed. The infant should have a minimum of three bowel movements in a 24-hour period.
Breastfed infants typically gain 15 to 30 g/day.