A client who is three days postpartum and is bottle-feeding her infant calls the nurse at the gynecology clinic with complaints of breast engorgement. What instruction should the nurse provide?

  • reduce fluid intake to 1,500 ml/day
  • take a warm shower twice a day
  • apply a tight binder around her breasts
  • come in to see the physician immediately as this is abnormal
Number 3 is correct.
A tight binder is recommended for the client bottle-feeding her baby to reduce engorgement. Limiting fluid intake will not impact breast engorgement. A warm shower will stimulate milk production. As engorgement is normal several days postdelivery, seeing the physician is not necessary.