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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Checking the baby's temperature rectally every hour is unnecessary and may cause discomfort and potential harm to the baby. Temperature checks should be done as per healthcare provider's
recommendation.

B. Keeping the baby's head covered helps regulate their body temperature and prevents heat loss, especially in newborns who are more prone to heat loss from their heads.

C. Keeping the baby's bassinet away from fans and air conditioning helps maintain a stable and comfortable temperature for the newborn, preventing overheating or chilling.

D. Placing the baby on the stomach (prone position) is not recommended for sleep due to the increased risk of sudden infant death syndrome (SIDS). Infants should be placed on their back to sleep.

A. "Have the mother call and I will take the baby to the room." B. "If you show me your photo identification, you can take the infant." C. You may carry your grandchild to the room." D. "You can push the baby to the room in a wheeled bassinet."

Correct Answer is A

Explanation

A. The nurse's response to have the mother call ensures proper protocol is followed for infant transfer and prioritizes the mother's consent, making it the safest option.
B. While checking identification is important, it does not establish proper protocol for transferring the infant and may not address whether the mother has authorized the transfer.
C. Allowing the grandmother to carry the grandchild without confirming the mother's wishes could lead to security and safety concerns, making this response inappropriate.
D. Allowing the grandmother to push the baby in a wheeled bassinet is not the standard practice; the nurse should ensure that the baby is safely transported by hospital staff.

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A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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