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A nurse is reinforcing teaching with a client who is breastfeeding and has mastitis.Which of the following responses should the nurse make?

A.

Completely empty each breast at each feeding or use a pump.

B.

Nurse the infant only on the unaffected breast until resolved.

C.

Wear a tight-fitting bra until lactation has ceased.

D.

Limit the amount of time the infant nurses on each breast.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Completely emptying each breast at each feeding or using a pump helps prevent milk stasis, which can lead to mastitis. Ensuring the breasts are fully emptied reduces the risk of blocked ducts and infection.

 

Choice B rationale

 

Nursing on only the unaffected breast can lead to engorgement and worsening of mastitis in the affected breast. It is important to continue breastfeeding on both sides to maintain milk flow and prevent complications.

 

Choice C rationale

 

Wearing a tight-fitting bra can restrict milk flow and exacerbate mastitis. A well-fitting, supportive bra is recommended to avoid further complications.

 

Choice D rationale

 

Limiting the time the infant nurses on each breast can lead to incomplete emptying and increase the risk of mastitis. It is important to ensure the breasts are fully emptied to prevent infection.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Sore nipples with cracks and fissures can indicate an infection or improper breastfeeding technique, requiring medical attention.

Choice B rationale

Scant nonodorous white vaginal discharge is normal postpartum and does not require contacting the provider.

Choice C rationale

Uterine cramping during breastfeeding is a normal physiological response due to oxytocin release.

Choice D rationale

Decreased response with sexual activity can be normal postpartum and does not necessarily require immediate medical attention.

Correct Answer is D

Explanation

Choice D rationale

Applying an ice pack to the perineum is the recommended action for unrelieved episiotomy pain within the first 24 hours following delivery. Ice helps reduce swelling and provides pain relief.

Choice A rationale

Placing a soft pillow under the client’s buttocks is not effective and can increase pressure and swelling on the perineal area, worsening the pain.

Choice B rationale

Positioning a heating lamp toward the episiotomy is not recommended as it can increase the risk of burns and does not effectively reduce swelling.

Choice C rationale

Preparing a warm sitz bath can be beneficial after the first 24 hours but is not the initial action for unrelieved pain within the first 8 hours.

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