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QUESTION NUMBER _ 100 _ about (MC)


QUESTION: "The nurse plans to instruct the client who has just delivered her first baby about inverted nipples. Which of the following measures would the nurse expect to include in the teaching plan?"

CHOICES

( X ) a.) Leaving the brassiere off for a short time at periods during the day.

( X ) b.) Patting the nipples lightly with a terrycloth towel twice daily.

( X ) c.) Cutting out a portion of the brassiere to help with inverted nipples.

( O ) d.) Pushing areolar tissues away from the nipples, then grasping the nipples to tease them out.


RATIONALE: When the client has inverted nipples, the areolar tissues can be pushed in and away from the nipples, then the nipples grasped and pulled out gently. The brassiere should be worn continuously for support. Taking it off will not help inverted nipples. Patting or brushing the nipples with a terrycloth towel is not advised because this can cause injury to the delicate breast tissue. Using a Woolrich breast shield, which pushes the nipples through openings in the shield, can help overcome inverted nipples. A cut-open brassiere is not effective. NURSING PROCESS STEP: Planning CLIENT NEEDS CATEGORY: Health promotion and maintenance CLIENT NEEDS SUBCATEGORY: None