During a home visit 4 days after delivery, the breast-feeding client tells the nurse that her breasts are hard and tender. The nurse suspects breast engorgement. Which of the following action should the nurse instruct the client to do
A. Take a moderately p analgesic after the infant breast-feeds on both sides.
B. Use her hand or a pump to express a small amount of breast milk before breast-feeding.
C. Discontinue breast-feeding immediately and replace it with bottle-feeding during the night.
D. Apply ice packs to the breasts for 20 minutes just before breast-feeding the newborn.
参考答案：B
解析：The client should be instructed to express milk from the nipples either by hand or with a breast pump to stimulate milk flow and relieve the engorgement. As soon as the areola is soft, the client should begin to breast-feed. Frequent feedings with complete emptying of the breasts should alleviate engorgement.