The nurse visits a client at home who delivered a healthy newborn 2 days ago. The client is ...

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Rationale: During breast engorgement, the client should be advised to feed the infant frequently, at least every 2 hours, for 15 to 20 minutes on each side. The infant will have an easier time latching on if the client softens her breast and expresses her milk before a feeding. Instruct the client to apply moist heat to both breasts for about 20 minutes before a feeding. This can be done in the shower or with warm wet towels. During a feeding, it is helpful to massage the breast gen-tly from the outer area to the nipple. This helps stimulate the let-down and flow of milk. The cli-ent also should be instructed to wear a supportive bra between feedings.