Final answer:
The statement by the breastfeeding mother that she will offer her baby a bottle following each feeding indicates the need for further teaching since it may disrupt the breastfeeding routine and cause nipple confusion. Proper breastfeeding management, understanding the types of milk produced, and their composition during feedings are essential for successful lactation.
Step-by-step explanation:
A breastfeeding mother who develops engorgement on her second postpartum day has made several statements, but the statement that indicates the need for further teaching is "I will offer my baby a bottle following each feeding". This approach can interfere with establishing a good breastfeeding routine and can cause nipple confusion for the infant. A baby needs to learn how to effectively latch on to the breast, and offering a bottle may compromise this learning process. Additionally, frequent breastfeeding helps manage engorgement by maintaining milk flow and demand, while offering a bottle might reduce the baby's demand on the breast, potentially leading to a decreased milk supply.
The lactation process involves the production of different types of milk during the first days of lactation and changes in the course of a single feeding. Colostrum is produced in the first postpartum days, followed by transitional milk, and finally mature milk. The composition of breast milk during a single feeding changes from foremilk, which quenches the infant's thirst, to hindmilk that provides higher fat content to satisfy the infant's appetite.