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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Changing the perineal pad is a task that can be safely delegated to an assistive personnel (AP) as it involves basic hygiene care and does not require nursing judgment.
B. Observing an area of redness on the breast may require nursing assessment and judgment to determine if further intervention is needed.
C. Monitoring vital signs during admission of a client with gestational hypertension requires nursing assessment and judgment to detect any signs of worsening condition or complications.
D. Providing a sitz bath to a client with a fourth-degree laceration requires nursing assessment and judgment to ensure appropriate wound care and pain management.
Correct Answer is A
Explanation
A. Assessing for respiratory distress is the priority following a cesarean delivery as newborns born via cesarean section are at increased risk for respiratory complications due to potential fluid in the lungs (transient tachypnea of the newborn) or immaturity of lung function.
B. Accidental lacerations are important to assess but are not the priority immediately following a scheduled cesarean delivery.
C. Hypothermia is a concern, but assessing for respiratory distress takes precedence as it can be life-threatening if not promptly addressed.
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