A nurse is providing teaching for a client who is 2 weeks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching?

Feed your baby only from the unaffected breast until the infection has resolved.

Pump your breasts and discard the milk until the infection has resolved.

Apply moist heat to the affected breast.

Ensure you are drinking at least 1500 milliliters of fluid per day.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Feeding from only one breast can lead to engorgement and a decrease in milk supply in the affected breast. It is important to continue breastfeeding from both breasts, even if one is infected.

Choice B rationale

Discarding milk is not necessary and can lead to a decrease in milk supply. The infection does not harm the baby, and breastfeeding helps to drain the breast and clear the infection.

Choice C rationale

Moist heat can help to increase blood flow and promote healing in the affected breast. Applying warm compresses or taking warm showers can help to reduce pain and inflammation associated with mastitis.

Choice D rationale

While staying hydrated is important for overall health, there is no specific requirement to drink at least 1500 milliliters of fluid per day for mastitis. Adequate fluid intake should be maintained, but there is no direct correlation with resolving the infection.

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Correct Answer is D

Explanation

Choice A rationale

Transient circumoral cyanosis is common in newborns, especially when crying or feeding, and usually resolves on its own without intervention.

Choice B rationale

Transient strabismus, or the temporary crossing of the eyes, is normal in newborns due to underdeveloped eye muscles and usually resolves as the infant grows.

Choice C rationale

Caput succedaneum is the swelling of the scalp caused by pressure during delivery. It is usually benign and resolves within a few days without treatment.

Choice D rationale

Generalized petechiae, or small red or purple spots on the skin, can indicate a serious underlying condition such as a clotting disorder or infection and requires immediate medical evaluation.

A. Meconium stools. B. Depressed fontanels. C. Rust-stained urine. D. Overlapping suture lines.

Correct Answer is B

Explanation

Choice A rationale

Meconium stools are common in newborns and not a concern in the context of weight loss.

Choice B rationale

Depressed fontanels can indicate dehydration in a newborn, which is critical, especially with significant weight loss.

Choice C rationale

Rust-stained urine is often due to urate crystals and is typical in newborns, not specifically alarming.

Choice D rationale

Overlapping suture lines can be a normal finding in a newborn's head and not indicative of an acute problem relating to weight loss.

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A nurse is providing teaching for a client who is 2 weeks postpartum and has mastitis.Which of the following instructions should the nurse include in the teaching?

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A nurse is providing teaching for a client who is 2 weeks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching?