A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast.
Upon inspection, a diagnosis of mastitis is made.
Which of the following nursing interventions is appropriate?

Advise the woman to apply ice packs to her breasts.

Encourage the woman to breastfeed frequently.

Inform the woman that she should wean immediately.

Direct the woman to notify her pediatrician as soon as possible.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Applying ice packs can help reduce pain and swelling, but it is not the best intervention for a breastfeeding mother with mastitis. Ice can constrict blood vessels and may hinder milk flow, which can exacerbate the condition.

Choice B rationale

Frequent breastfeeding helps to empty the affected breast and prevent milk stasis, reducing the risk of abscess formation and promoting faster healing. The mechanical action of nursing can help clear the infection and provide relief.

Choice C rationale

Weaning immediately is not advised as it can lead to engorgement and milk stasis, worsening the infection. Continuing to breastfeed ensures the breast is regularly emptied, aiding in recovery.

Choice D rationale

While notifying the pediatrician may be necessary if the baby is affected, it does not directly address the mother's condition or provide immediate relief. Primary management focuses on treating the infection and maintaining milk flow.

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Correct Answer is C

Explanation

Choice A rationale

While intravenous antibiotics are given during labor to prevent GBS transmission to the baby, it is not administered at home but in the hospital when labor begins.

Choice B rationale

GBS does not significantly increase the risk of intrauterine infection that requires daily temperature checks; it primarily poses a risk of neonatal infection during delivery.

Choice C rationale

GBS bacteria reside in the vagina and can be transmitted to the baby during delivery. Administering antibiotics during labor helps protect the baby from serious GBS-related illnesses.

Choice D rationale

GBS does not cause scarlet fever or the symptoms described; those are caused by different bacteria, namely Streptococcus pyogenes. .

A. The patient who is 37 years of age, obese, and experiencing pregnancy-induced hypertension. B. The patient with preexisting hypertension who is currently pregnant with twins. C. The patient who is 16 years of age just diagnosed with gestational diabetes. D. The patient who is 28 years old and delivered a premature neonate 3 years prior.

Correct Answer is A

Explanation

Choice A rationale

A 37-year-old patient with obesity and pregnancy-induced hypertension presents multiple risk factors. Advanced maternal age, obesity, and hypertension collectively increase the likelihood of complications such as preeclampsia, gestational diabetes, and cesarean delivery, necessitating close monitoring and management.

Choice B rationale

A patient with preexisting hypertension and twins is indeed high-risk due to the combined strain on the cardiovascular system and potential for preterm labor or other complications associated with multiple gestations. However, the presence of pregnancy-induced hypertension and obesity in the first patient poses a slightly higher cumulative risk.

Choice C rationale

A 16-year-old patient with newly diagnosed gestational diabetes is at increased risk, particularly because of age and the potential for poorly managed diabetes leading to complications. However, this scenario presents fewer immediate cumulative risks compared to older age and existing hypertension.

Choice D rationale

A 28-year-old patient who had a premature birth three years prior must be monitored for signs of recurrent preterm labor. Yet, this history alone does not present as high a cumulative risk as older maternal age, obesity, and pregnancy-induced hypertension. .

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A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast.Upon inspection, a diagnosis of mastitis is made.Which of the following nursing interventions is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client at 37 weeks' gestation has been advised that she is positive for group B streptococcus (GBS). Which of the following comments by the nurse is appropriate at this time?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast.
Upon inspection, a diagnosis of mastitis is made.
Which of the following nursing interventions is appropriate?