Maternity Nursing Q 375
The nurse plans to instruct the postpartum client about methods to prevent breast engorgement. Which of the following measures would the nurse include in the teaching plan?
A. Feeding the neonate a maximum of 5 minutes per side on the first day.
B. Wearing a supportive brassiere with nipple shields.
C. Breastfeeding the neonate at frequent intervals.
D. Decreasing fluid intake for the first 24 to 48 hours.
Correct Answer: C. Breastfeeding the neonate at frequent intervals
Prevention of breast engorgement is key. The best technique is to empty the breast regularly while feeding. Engorgement is less likely when the mother and neonate are together, as in single-room maternity care continuous rooming-in, because nursing can be done conveniently to meet the neonate’s and mother’s needs.
Option A: A newborn feeds every 2 to 3 hours. They should be breastfed 8-12 times per day for about the first month. Frequent feedings help stimulate your milk production during the first few weeks.
Option B: A nipple shield is usually meant to be used for a short time. When using a shield, help the baby to latch on by himself with a wide-open mouth. This will help the baby learn to breastfeed without a shield.
Option D: Breastfeeding women are recommended to increase fluid intake by 800 ml/day during the first 6 months postpartum.