RN Nursing · Breastfeeding and Infant Feeding · Practice question
A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching?
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"You should limit your fluid intake to 1 liter per day."
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"You should apply moist heat to your breasts four times per day."
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"You should manually express milk when engorgement occurs."
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✓
"You should wear a snug-fitting bra continuously for 72 hours."
Answer & explanation
Correct: "You should wear a snug-fitting bra continuously for 72 hours."
Wearing a snug-fitting, supportive bra continuously for 72 hours is recommended to suppress lactation in a postpartum client who is bottle feeding. The consistent mechanical pressure provided by a well-fitting bra reduces stimulation and engorgement, signaling the body to decrease prolactin release and milk production. The client should also avoid any nipple stimulation, including expressing milk, because stimulation perpetuates milk production by triggering further prolactin release. Limiting fluid intake to 1 liter per day is not recommended because fluid restriction does not effectively suppress lactation and could lead to dehydration in a postpartum client. Applying moist heat to the breasts would increase circulation and potentially stimulate further milk production, worsening engorgement rather than relieving it; cool compresses or cabbage leaves are preferred for comfort. Manually expressing milk when engorgement occurs is contraindicated for lactation suppression because any form of milk removal or nipple stimulation maintains the supply-and-demand cycle of lactation. The key teaching point is to avoid all forms of breast stimulation and to maintain consistent breast support.
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