441 OBJ: Nursing Process

Step: Implementation

MSC: Client Needs: Physiologic Integrity

18. Which should the nurse recommend and the

postpartum client and prevent nipple trauma?

a. Assess the nipples before each feeding.

b. Limit the feeding time and less than 5 minutes.

c. Wash the nipples daily with mild soap and water.

d. Position the infant so the nipple is far back in the

mouth.

ANS: D

If the infants mouth does not cover as much of the

areola as possible, the pressure during sucking will be

applied and the nipple, causing trauma and the area.

Assessing the nipples andtrauma is important, but it

will not prevent sore nipples. Stimulating the breast

andless than 5 minutes will not produce the extra

milk the infant may need. Soap can be drying and the

nipples and should be avoided during breastfeeding.

PTS: 1 DIF: Cognitive

Level: Application REF: 458

OBJ: Nursing Process Step:

Implementation

MSC: Client Needs: Physiologic Integrity

19. A breastfeeding client who was discharged

yesterday calls and ask about a tender hard area on

her right breast. What should be the nurses first

response?
a. This is a normal response in breastfeeding

mothers.

b. Notify your docandr so he can start you on

antibiotics.

c. Sandp breastfeeding because you probably have an

infection.

d. Try massaging the area and apply heat; it is

probably a plugged duct.