The nurse is caring for a client who is 38 weeks pregnant and plans to breastfeed. This is the client’s first child, and she expresses concern about lactation. The nurse tells the client that which measures stimulate lactation?

Select all that apply.
  1. breast massage
  2. frequent breastfeeding
  3. pumping breasts between feedings
  4. vigorous exercise one week after birth
  5. applying cold compresses to the breasts
Numbers 1, 2, and 3 are correct.
Rationale: Breast massage, frequent breastfeeding, and pumping breasts between feedings stimulate lactation in the postpartum client. Vigorous exercise should not be done one week after birth; the client should follow the health care provider’s guidelines regarding when vigorous exercise can be resumed. Applying warm, not cold, compresses to the breasts stimulates lactation.