A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)

Instruct the client to wash their hands prior to breastfeeding.

Teach the client about proper latching-on techniques.

Encourage the client to alternate breastfeeding with formula feeding.

Instruct the client to avoid using a breast pump.

Encourage the client to allow their nipples to air dry after feedings.

Answer and Explanation

Correct Answer : A,E

A. Instruct the client to wash their hands prior to breastfeeding: Correct. Proper hand hygiene helps to prevent the spread of infection, which is important for a client with mastitis. Washing hands before breastfeeding is a crucial infection control measure.

B. Teach the client about proper latching-on techniques: Correct. Proper latching-on techniques can help prevent further complications and ensure effective milk removal, which can help in managing mastitis and preventing recurrence.

C. Encourage the client to alternate breastfeeding with formula feeding: Incorrect. Breastfeeding should continue as usual because it helps to empty the breast and relieve engorgement, which is crucial for managing mastitis. Formula feeding could exacerbate the problem by increasing engorgement.

D. Instruct the client to avoid using a breast pump: Incorrect. Using a breast pump can be beneficial for managing mastitis by helping to relieve engorgement and ensure proper milk drainage. The pump should be used correctly and hygienically.

E. Encourage the client to allow their nipples to air dry after feedings: Correct. Allowing the nipples to air dry helps prevent further irritation and infection. It is important for maintaining skin integrity and comfort during mastitis.

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Correct Answer is A

Explanation

A. Abruptio placentae: Correct. Continuous abdominal pain and vaginal bleeding, especially in a client with a history of cocaine use, suggest abruptio placentae. Cocaine use is a significant risk factor for this condition, where the placenta detaches prematurely from the uterine wall.

B. Hydatidiform mole: Incorrect. Hydatidiform mole, or molar pregnancy, typically presents with abnormal vaginal bleeding early in pregnancy, not at 38 weeks of gestation.

C. Preterm labor: Incorrect. While preterm labor can involve abdominal pain and bleeding, the specific combination of continuous abdominal pain and vaginal bleeding with a history of cocaine use is more indicative of abruptio placentae.

D. Placenta previa: Incorrect. Placenta previa generally causes painless bleeding, not continuous abdominal pain. It also usually presents earlier in pregnancy.

A. Uterine tone B. Vaginal bleeding characteristics C. Pain rate D. Client weeks of gestation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A,B"}}

Explanation

• Uterine tone
o Placenta previa: Not typically associated with abnormal uterine tone.
o Abruptio placenta: Associated with hard and rigid abdomen, uterine hypertonicity, and tenderness.
• Vaginal bleeding characteristics
o Placenta previa: Typically characterized by bright red, painless vaginal bleeding.
o Abruptio placenta: Often associated with dark red, painful vaginal bleeding.
• Pain rate
o Placenta previa: Usually presents with minimal or no pain.
o Abruptio placenta: Associated with sudden, severe abdominal pain and tenderness.
• Client weeks of gestation
o Placenta previa: Commonly diagnosed later in pregnancy, around 30 weeks or later.
o Abruptio placenta: Can occur at any point after 20 weeks of gestation, but often seen closer to term.

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A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?

Correct Answer is A

Explanation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A,B"}}

Explanation

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