Practice Quiz

Lactation Consultant Exam Prep

Category - Postpartum

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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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Additional Answers

ann watts says:

I don’t agree! Most comfortable May well be side lying, or careful laid back. Prescriptive positioning may not be helpful

ann watts says:

Disagree. She may find underarm holds helpful, but she may not. Every dyad is different

ann watts says:

Disagree. She may find underarm holds helpful, but she may not. Every dyad is different

Abigail Garrison says:

Side lying or reclined might be more appropriate positions the first few hours after surgery. The birthing parent might still be dizzy and nauseated to sit up.

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