Question

The breastfeeding mother is concerned that her milk production has decreased. The nurse knows that further patient teaching is needed based on which statement?

A. "I am drinking a minimum of 8-10 glasses of liquid a day."
B. "I have started cutting back on my protein intake."
C. "At least three times a day, I am drinking a glass of milk."
D. "I try to take a nap in the morning and afternoon when the baby is sleeping."

Answer 1

The statement indicating the need for additional patient teaching is "I have started cutting back on my protein intake" due to its importance in sustaining milk production during breastfeeding. Proper nutrition, including sufficient protein intake, is crucial for a lactating mother.

Step-by-step explanation:

The nurse knows that further patient teaching is needed when a breastfeeding mother states: "I have started cutting back on my protein intake." Optimal lactation requires a well-balanced diet with sufficient protein, as proteins are crucial for the production of breast milk and the overall health of the lactating mother. A reduction in protein intake can potentially lead to decreased milk production, which may concern a mother who is already noticing a reduction in her milk supply.

It's important to note that the composition of breast milk changes during the lactation period and during individual feeding sessions. Colostrum, produced in the first postpartum days, is rich in immunoglobulins and has a higher protein content than mature milk. As lactation continues, the milk transitions and eventually becomes mature breast milk, which continues to provide essential nutrients and hydration to the growing infant.

A nursing mother's diet should include supplemental calories, especially from sources high in energy like fats and carbohydrates, to ensure adequate lactation. Drinking plenty of fluids and resting are also beneficial practices for maintaining milk supply.