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 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.

A. Respiratory distress B. Accidental lacerations C. Hypothermia

Correct Answer is A

Explanation

A. Assessing for respiratory distress is the priority following a cesarean delivery as newborns born via cesarean section are at increased risk for respiratory complications due to potential fluid in the lungs (transient tachypnea of the newborn) or immaturity of lung function.
B. Accidental lacerations are important to assess but are not the priority immediately following a scheduled cesarean delivery.
C. Hypothermia is a concern, but assessing for respiratory distress takes precedence as it can be life-threatening if not promptly addressed.

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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

A nurse is preparing to administer oxygen via hood therapy to a newborn who was born at 30 weeks of gestation. Which of the following is an appropriate nursing action when providing care to this infant?

Correct Answer is D

Explanation

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?

Correct Answer is A

Explanation

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