CNM Certified Nurse Midwife

Category - Postpartum

A client had a cesarean delivery. The client informs the nurse midwife that she intends to breastfeed her baby. Which of the following instructions is the most effective for a client who wants to breastfeed after a cesarean delivery?
  1. “Use the football hold when breastfeeding.”
  2. “Choose the position that is most comfortable during breastfeeding.”
  3. “Breast feeding is withheld for the first 12 hours of life.”
  4. “Breastfeed the newborn every 4 to 8 hours.”
Explanation
Answer: A - The most appropriate action of the nurse midwife is to instruct the client to use the football hold when breastfeeding. This position alleviates or avoids incisional discomfort. Breastfeeding may be started immediately after birth, and the newborn must be breastfed every 2 to 4 hours.
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