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 B

Explanation

- A) A platelet count of 200,000/mm3 is within the normal range for a newborn and does not require immediate intervention.
- B) A bilirubin level of 19 mg/dL is high and suggests the possibility of hyperbilirubinemia, which can lead to jaundice and, in severe cases, kernicterus, a form of brain damage. This is a critical value that requires immediate attention.
- C) A blood glucose level of 45 mg/dL is on the lower end of the normal range, but it is not as immediately concerning as the elevated bilirubin level. Monitoring and appropriate feeding should address this issue.
- D) A hemoglobin level of 22 g/dL is high, indicating polycythemia, which can be a risk factor for hyperviscosity syndrome. However, it is not as urgent as the bilirubin level of 19 mg/dL. Monitoring and partial exchange transfusion may be considered if symptoms develop.

A. Insert an orogastric tube for decompression of the stomach. B. Place the newborn in Trendelenburg position. C. Remove the hood every hour for 10 min to facilitate bonding. D. Maintain oxygen saturations between 93% to 95%.

Correct Answer is D

Explanation

A. Inserting an orogastric tube for decompression of the stomach is not indicated for a newborn receiving oxygen via hood therapy.
B. Placing the newborn in Trendelenburg position is not appropriate and can lead to complications such as increased intracranial pressure.
C. Removing the hood every hour for 10 minutes to facilitate bonding is not appropriate as it may compromise the effectiveness of oxygen therapy and disrupt the newborn's stability.
D. Maintaining oxygen saturations between 93% to 95% is an appropriate nursing action to ensure adequate oxygenation while avoiding the risk of oxygen toxicity.

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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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