Health Promotion and Maintenance Q 102

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The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

  

     A. Diabetes

     B. Positive HIV

     C. Hypertension

     D. Thyroid disease

    

    

Correct Answer: B. Positive HIV

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Clients with HIV should not breastfeed because the infection can be transmitted to the baby through breast milk. The best way to prevent transmission of HIV to an infant through breast milk is to not breastfeed. In the United States, where mothers have access to clean water and affordable replacement feeding (infant formula), the CDC and the American Academy of Pediatrics recommend that HIV-infected mothers completely avoid breastfeeding their infants, regardless of ART and maternal viral load.

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Option A: Among women who had gestational diabetes, breastfeeding was associated with a lower rate of type 2 diabetes for up to 2 years after childbirth. The results suggest that breastfeeding after gestational diabetes may have lasting effects that reduce a woman’s chance of developing type 2 diabetes.

Option C: More children breastfed and longer duration of breastfeeding were associated with a lower risk of hypertension in postmenopausal women, and the degree of obesity and insulin resistance moderated the breastfeeding-hypertension association.

Option D: The client with thyroid disease can be allowed to breastfeed. Some breastfeeding mothers with hypothyroidism struggle to make a full milk supply. Thyroid hormones play a role in normal breast development and helping breasts to make milk. When not enough thyroid hormones are made, a mother’s milk supply may be affected.

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