Question

Christina is a 17-year-old gravida 1, para 1 who gave birth to a healthy 7-lb boy yesterday. She is very motivated to breastfeed him but is having nipple soreness. She also has to go back to school in 6 weeks to finish her semester and graduate from high school.

1. Use principles of evidence-based practice to help Christina with her sore nipples.

2. Investigate the best breast pumping methods to encourage Christina to continue providing breast milk when she returns to school.

3. What additional information might be helpful to gather to meet Christina’s needs using the template of evidence-based practice?

4. What professional activities can the nurse participate in to increase the utilization of evidence-based practice in her setting?

Answer 1

Answer 1) methods to relieve soreness of nipple

A) apply some breast milk on nipple and allow it to dry on it as breast milk contain natural skin softner and some antibodies to fight with infection and also keep nipple heathy and prevent damage .

B) let nipple to air dry after every feeding as this prevent irritation caused by cloth rubbing.

C) apply modified lanolin or other specially formulated creams or ointment which are made with hypoallergenic ingredients to prevent any Allergy .

D) to reduce breast pain , apply cool compression to the nipple after every breastfeeding also some gel pads are useful in sore breast , use some breast shield to prevent contact between breast and cloth

E) use good breast support which help in relieving pain of nipple.

F) check baby tongue for short frenulum as it can limit baby tongue movement and cause pain

Answer 2) steps for best pumping methods are

A) first step is wash the hand with soap and worm water before starting as it is very important for maintaining hygiene of milk

B) find some comfortable ,calm place and quite place to sit ,relax yourself as much as possible ,do some yoga or meditation like deep breath

C) encourage letdown of breast milk by softly massaging it or by applying worm compression

D) hold your baby close by cuddling as it help in launching the breast milk in mouth of baby

E) moisture the flange and center the nipple to the flanges before starting the pump

F) prime the pump slowly and start feeding don't default at highest level of suction.

Answer 3)since she is 17 yr old and college student ,she has to focus on her exams also ,so effective timing or free time to do breast feeding is important for her . It is important for medical Nurses to know her college timing ,her daily routine , her free time etc as this will help in managing the baby .

Answer 4) professional nurses help her by various methods like

A) by providing proper immunization to both baby and mother at various interval of time . Also by maintaining records of it

B) by assisting her in various aspects of breast feeding , managing baby requirements etc

C) also by providing her mental health counseling releted to newly becoming mothers. As new mother faces various psychological issues.