A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?
A white patch on a nipple
Cracked and bleeding nipples
Swelling in both breasts
Red and painful area in one breast
The Correct Answer is D
A. A white patch on a nipple may indicate a fungal infection such as thrush but is not typically associated with mastitis.
B. Cracked and bleeding nipples are common in breastfeeding but are not specific to mastitis.
C. Swelling in both breasts can occur with engorgement but is not indicative of mastitis, which typically presents with localized symptoms.
D. A red and painful area in one breast is a classic sign of mastitis. Mastitis is an infection of the breast tissue that often presents with localized redness, warmth, swelling, and pain in one breast. Other symptoms may include fever, chills, and flu-like symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Feeding the baby every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement by reducing milk stasis and promoting milk production regulation.
Applying cold compresses before feeding may temporarily reduce discomfort but does not address the underlying cause of engorgement or promote milk removal.
Drinking herbal tea is not proven to effectively reduce breast engorgement, and it is important for the client to focus on frequent breastfeeding or pumping to alleviate engorgement.
Allowing the baby to drain one breast at each feeding may lead to uneven milk production and exacerbate engorgement. It is important for the client to offer both breasts at each feeding to ensure adequate milk removal from both breasts.
Correct Answer is D
Explanation
A. Inserting an orogastric tube for decompression of the stomach is not indicated for a newborn receiving oxygen via hood therapy.
B. Placing the newborn in Trendelenburg position is not appropriate and can lead to complications such as increased intracranial pressure.
C. Removing the hood every hour for 10 minutes to facilitate bonding is not appropriate as it may compromise the effectiveness of oxygen therapy and disrupt the newborn's stability.
D. Maintaining oxygen saturations between 93% to 95% is an appropriate nursing action to ensure adequate oxygenation while avoiding the risk of oxygen toxicity.
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