Question

The nurse is providing instructions about measures to prevent postpartum mastitis to a client who is breastfeeding her newborn. Which client statement would indicate a need for further instruction?

A. "I'll make sure the baby latches onto the breast correctly."
B. "I'll switch breasts during feedings to empty both sides."
C. "I'll wear tight-fitting bras to support my breasts."
D. "I'll avoid skipping feedings to prevent engorgement."

Answer 1

Statement C, indicating the use of tight-fitting bras, would need further instruction to prevent mastitis. Postpartum mastitis is best prevented through correct latching, emptying both breasts, and avoiding skipped feedings.

Step-by-step explanation:

The question pertains to the best practices for preventing postpartum mastitis while breastfeeding. Among the statements made by the client, statement C: "I'll wear tight-fitting bras to support my breasts." would indicate a need for further instruction. Tight-fitting bras can restrict milk flow and potentially lead to milk stasis, increasing the risk of mastitis. Appropriate measures to prevent postpartum mastitis include ensuring the baby latches on correctly, emptying both breasts during feedings, and avoiding skipping feedings to prevent engorgement.

Lactation is initiated after childbirth and is maintained through the sucking stimulus of the baby on the nipple. This process leads to the production and secretion of breast milk from the mammary glands, which adapts over time to meet the infant's nutritional needs. The composition of breast milk changes in the first days of lactation, from colostrum to transition milk, then to mature milk; and it also varies within a single feeding from foremilk to hindmilk. The cessation of breastfeeding leads to breast engorgement and leakage similar to initial postpartum weeks, as the body adjusts and eventually reabsorbs the remaining milk.