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    HESI RN EXIT PROCTORED EXAMQuestion 29
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    HESI RN EXIT PROCTORED EXAM

    A client who is one day postpartum tells the nurse that her baby cannot latch onto the breast. The nurse determines that the client's nipples are inverted. Which action should the nurse implement?

    Explanation & Rationale

    A. Encouraging the use of ice on the areola is not appropriate for addressing inverted nipples. Ice may cause discomfort and vasoconstriction, making latching more difficult. B. Recommending the use of a breast shield can help draw out inverted nipples, making it easier for the baby to latch onto the breast. Breast shields can be used temporarily until the nipples become more erect or until breastfeeding techniques are established. C. Teaching about the use of a breast pump may be appropriate for establishing milk supply or relieving engorgement, but it does not directly address the issue of inverted nipples or difficulty with latching. D. Offering supplemental formula feedings should be a last resort and should only be considered if other methods of addressing latch difficulties, such as using a breast shield or seeking assistance from a lactation consultant, have been unsuccessful.

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