What factors could contribute to mastitis in a breastfeeding mother? (Select all that apply.)
Breastfeeding every 2 hours
Substituting breastfeeding sessions with formula feeding
Blisters and cracks on both nipples
Alternating breastfeeding positions
Correct Answer : B,C,D
Choice A rationale
Breastfeeding every 2 hours is actually recommended for newborns and is not a contributing factor to mastitis.
Choice B rationale
Substituting breastfeeding sessions with formula feeding can contribute to mastitis. This is because the milk that is not removed from the breast can lead to engorgement and blocked ducts, which can result in infection.
Choice C rationale
Blisters and cracks on the nipples can allow bacteria to enter the breast tissue, leading to infection and mastitis.
Choice D rationale
Alternating breastfeeding positions can help ensure that the breasts are emptied completely during each feeding, which can help prevent mastitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While quitting smoking is generally beneficial for overall health, it is not specifically linked to the treatment of fibrocystic breast disease.
Choice B rationale
There is no specific link between the consumption of dairy products and the treatment of fibrocystic breast disease.
Choice C rationale
Caffeine has been associated with fibrocystic breast changes, and some women may notice an improvement in their symptoms after reducing their caffeine intake.
Choice D rationale
While reducing the intake of sweets can be beneficial for overall health, it is not specifically linked to the treatment of fibrocystic breast disease.
Correct Answer is D
Explanation
Choice A rationale
Informing the obstetrician is important, but it is not the first action to take. The nurse should first try to address the issue at hand, which is a displaced and boggy uterus.
Choice B rationale
Straight catheterization of the patient could be necessary if the patient is unable to void. However, the first step should be to ask the patient to void.
Choice C rationale
Preparing the patient for manual removal of uterine clots is a more invasive procedure that should be considered if other measures, such as asking the patient to void or massaging the fundus, are not effective.
Choice D rationale
A full bladder can displace the uterus and prevent it from contracting properly. Asking the patient to void can help the uterus contract and reduce bleeding.
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