A nurse is reinforcing teaching with a client who is breastfeeding and has mastitis.Which of the following responses should the nurse make?
Completely empty each breast at each feeding or use a pump.
Nurse the infant only on the unaffected breast until resolved.
Wear a tight-fitting bra until lactation has ceased.
Limit the amount of time the infant nurses on each breast.
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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Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Topical creams can help soothe and promote healing of the episiotomy or laceration site.
Choice B rationale
Sitz baths are effective in reducing pain and promoting healing by increasing blood flow to the perineal area.
Choice C rationale
Ice packs help reduce swelling and provide pain relief in the initial 24 hours post-delivery.
Choice D rationale
Tocolytics are not indicated for episiotomy or laceration care as they are used to suppress preterm labor.
Choice E rationale
Doing nothing is not appropriate as it does not address the pain or promote healing.
Correct Answer is D
Explanation
Choice D rationale
Using a postpartum depression-screening tool with the client is the first action the nurse should take. This tool helps to assess the severity of the client’s symptoms and determine the appropriate level of care. Early identification and intervention are crucial in managing postpartum depression effectively.
Choice A rationale
Arranging for counseling to help the client cope with the stress of being a parent is important, but it is not the first action. Counseling can be part of the treatment plan after the initial assessment using the screening tool.
Choice B rationale
Reinforcing teaching about ways to increase rest and sleep is beneficial for the client’s overall well-being, but it does not address the immediate need to assess the severity of the client’s depressive symptoms.
Choice C rationale
Requesting a prescription for an antidepressant medication may be necessary, but it should be based on the results of the screening tool and a thorough assessment by a healthcare provider.