A nurse is caring for a client who is breastfeeding and states that her nipples are sore and cracking. Which of the following actions should the nurse take?
Assess and ensure the newborn has a successful latch.
Recommend increasing the length of time between feedings.
Educate the client to apply mineral oil to the nipples between feedings.
Educate the client to keep the nipples covered between breastfeeding sessions.
The Correct Answer is A
Choice A rationale
Ensuring the newborn has a successful latch is crucial for preventing and treating sore and cracked nipples. A poor latch can cause nipple trauma and pain.
Choice B rationale
Increasing the length of time between feedings is not recommended as it can lead to engorgement and further complications. Frequent breastfeeding helps maintain milk supply and prevents issues like mastitis.
Choice C rationale
Applying mineral oil to the nipples is not recommended. Instead, using expressed breast milk or medical-grade lanolin can promote healing.
Choice D rationale
Keeping the nipples covered between breastfeeding sessions is not necessary and can sometimes exacerbate the problem. Allowing the nipples to air dry or using hydrogel pads can be more beneficial.
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Correct Answer is B
Explanation
Choice A rationale
A 29-year-old G3P3003 with an uncomplicated SVD at term and a supportive family environment is less likely to experience difficulties in transitioning to motherhood. The presence of her husband and older daughter provides a strong support system, which is beneficial for her adjustment.
Choice B rationale
A 37-year-old G3P1112 with worsening preeclampsia, induced at 34 weeks, currently on Magnesium Sulfate, and with a baby in the NICU, faces multiple stressors. The medical complications, preterm delivery, and separation from her baby due to NICU admission increase her risk for a difficult transition to motherhood. The use of Magnesium Sulfate can also affect her physical and emotional well-being.
Choice C rationale
A 31-year-old G3P2012 with a history of depression and a husband who is deployed faces significant challenges. The history of depression increases her risk for postpartum depression, and the absence of her husband can lead to feelings of isolation and increased stress.
Choice D rationale
A 16-year-old G1P1001 who delivered via cesarean section is at risk due to her young age and the surgical delivery. Adolescents may have less experience and resources to cope with the demands of motherhood, and the recovery from a cesarean section can add to the physical and emotional challenges.
Choice E rationale
A 20-year-old G1P1001 with an uncomplicated SVD and the presence of her boyfriend is less likely to face significant difficulties. The uncomplicated delivery and the support of her boyfriend provide a stable environment for her transition to motherhood. .
Correct Answer is B
Explanation
Choice A rationale
Teaching the parents how to swaddle is important for newborn care, but it is not the priority action immediately after delivery to promote parent-infant bonding. Skin-to-skin contact is more effective in establishing an initial bond.
Choice B rationale
Positioning the infant on the client’s chest for skin-to-skin care is the priority action to promote parent-infant bonding immediately after delivery. Skin-to-skin contact helps regulate the infant’s temperature, heart rate, and breathing, and promotes bonding through physical closeness and sensory interaction.
Choice C rationale
Offering to take the newborn to the nursery so the parents may nap is not the priority action for promoting bonding immediately after delivery. While rest is important, the initial moments after birth are crucial for establishing a bond through direct contact.
Choice D rationale
Assessing the infant under the radiant warmer is important for ensuring the infant’s health, but it is not the priority action for promoting parent-infant bonding immediately after delivery. Skin-to-skin contact should be prioritized unless there are medical concerns that require immediate attention. .