14. A client, who is gravida 1, para 0, is attending a prenatal breastfeeding class. Which statement by the client should indicate to a nurse that additional teaching is needed?
. "If I get sore nipples, I can use expressed breast milk to relieve the pain."
. "I will follow a strict schedule for breastfeeding, every 3 hours."
. "I will avoid giving my baby a pacifier for the first 4 to 6 weeks after birth."
Test-Taking Tip
This question is asking which of the options is not a correct statement. Restate the question to answer the question correctly.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
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Answer 1 is incorrect because expressed breast milk or lanolin can be used to relieve pain of sore nipples. Answer 2 is correct because babies who are breastfed should be on a demand schedule, feeding an average of 8 to 12 times in a 24-hour period. Answer 3 is incorrect because avoiding a pacifier during the first 4 to 6 weeks while breastfeeding is being established helps to avoid nipple confusion and prevent reinforcing non-nutritive sucking. Answer 4 is incorrect because wearing a supportive bra helps reduce pain associated with engorgement.