Which of the following is NOT an intervention for engorgement?

• A. Encourage frequent feedings
• B. Assess feeding technique
• C. Use a breast pump
• D. Decrease cardiovascular exercise

Answer: (D)

The choice that identifies a non-intervention for engorgement is related to the management of physical activity levels, specifically cardiovascular exercise. Decreasing cardiovascular exercise does not address the physiological issues surrounding engorgement, which typically arise due to an excess of milk produced and are often linked to the frequency and effectiveness of breastfeeding.

On the other hand, encouraging frequent feedings helps to relieve engorgement by allowing the baby to effectively empty the breast, thus regulating milk supply and alleviating pressure. Assessing feeding technique is crucial because improper latching or feeding methods can contribute to engorgement, so ensuring that the baby is feeding correctly is a direct intervention. Utilizing a breast pump can also be effective, as it helps in expressing excessive milk to relieve the fullness and discomfort associated with engorgement.

Understanding the role of physical activity in this context is important; however, it does not directly influence the management of engorgement, which centers around promoting effective feeding and milk removal.