A woman gave birth 48 hours ago to a healthy infant girl.She has decided to bottle feed.During the assessment, the nurse notices that both breasts are swollen, warm, and tender on palpation.Which guidance should the nurse provide to the client at this time?
Explanation & Rationale
Choice A rationaleExpressing milk when bottle-feeding can stimulate further milk production, which would exacerbate the engorgement and discomfort. The goal is to discourage milk production.Choice B rationaleWhile a supportive bra is generally recommended for comfort, a loose-fitting bra might not provide adequate support to reduce swelling and discomfort associated with engorgement. A firm, supportive bra is usually advised.Choice C rationaleCold packs cause vasoconstriction, which helps to reduce blood flow to the breasts, thereby decreasing swelling, inflammation, and pain associated with engorgement. This provides symptomatic relief without stimulating milk production.Choice D rationaleWarm water can stimulate milk flow, which is counterproductive when trying to suppress lactation in a bottle-feeding mother experiencing engorgement. Warmth increases blood flow and can worsen swelling and discomfort.