A nurse is caring for a client who is 3 days postpartum and has chosen to bottle feed the newborn. During examination of the client's breasts, the nurse notes that they are warm and firm. Which of the following actions should the nurse plan to take?

• A. Instruct the client to apply warm compresses
• B. Apply a supportive bra and massage
• C. Instruct the client to apply cold compresses
• D. Stop breastfeeding immediately

Answer: (C)

Engorgement after milk onset is best managed by reducing swelling without stimulating more milk. In a client who is bottle feeding, cold compresses help because they decrease edema and provide pain relief through vasoconstriction. A supportive bra supports the breasts and can limit swelling and discomfort. Warm compresses or massage would stimulate milk flow and worsen engorgement, and stopping breastfeeding isn’t required—the goal is to relieve symptoms while the breasts adjust. Therefore, applying cold compresses is the most appropriate plan.