The nurse is teaching a non–breastfeeding patient measure to suppress lactation. Which information should the nurse include in the teaching session? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A: Avoid massaging the breasts. Massaging the breasts can stimulate milk production and worsen engorgement. Therefore, it is essential to avoid any stimulation to prevent further lactation. Summary: - Choice B: Allowing warm shower water to run over the breasts can stimulate milk production, so it should be avoided. - Choice C: Pumping can also stimulate milk production and should be avoided unless instructed by a healthcare provider. - Choice D: Ice packs or cabbage leaves can provide relief from discomfort but do not suppress lactation.

Correct Answer: B

Rationale: The correct answer is B: Cardiac output increases. As the uterus shrinks in size postpartum, it stimulates an increase in blood flow to the area, leading to an increase in cardiac output to meet the demands. This is a normal physiologic response that helps to prevent excessive bleeding and promote healing. Edema increasing (A) is not directly related to the shrinking uterus. Temperature rising (C) is not a typical postpartum change due to uterine involution. Lochia increasing (D) is not a direct result of uterine shrinkage, but rather a normal discharge after childbirth.

Correct Answer: B

Rationale: The correct answer is B: full bladder. A full bladder can cause the fundus to be boggy, elevated, and deviated to one side due to impeding the uterus from contracting properly. This can lead to postpartum hemorrhage. Uterine rupture (A) would present with severe abdominal pain and signs of shock. Perineal laceration (C) would not cause these fundus changes. Hematoma (D) would present with localized swelling and pain, not fundal changes.

Correct Answer: C

Rationale: The correct answer is C: postpartum depression. Screening for risk factors such as a baby in the NICU, difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support are all associated with an increased risk for postpartum depression. Postpartum depression is a common complication that affects many new mothers and can have significant impacts on both the mother and the baby's well-being. It is important for healthcare providers to be vigilant in screening for these risk factors to identify and support mothers at risk for postpartum depression. Summary: A: maladaptive parenting - Not directly related to the risk factors listed. B: psychosis - Not typically associated with the listed risk factors. D: bipolar disorder - While bipolar disorder can occur postpartum, the listed risk factors are more specifically linked to postpartum depression.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Instructing the person to call the nurse to warm up food or drink is the best way to support the cultural tradition of consuming warm drinks and food. This option respects the individual's cultural preferences and provides a practical solution to meet their needs without imposing personal opinions. By offering assistance in warming up the food or drink, the nurse acknowledges and honors the person's cultural background, promoting a culturally sensitive and patient-centered approach. Summary of Incorrect Choices: A: Explaining that nurses do not have control over the food dismisses the person's request and does not address the cultural tradition. B: Telling the person that cold fluids are better for recovery disregards the cultural preference for warm drinks and food. D: Educating the person on culture in the United States is not relevant to supporting their specific cultural tradition of consuming warm drinks and food.