A woman who has cracked and bleeding nipples is at increased risk for:
Engorgement.
Mastitis.
Decrease in milk production.
Infection.
The Correct Answer is D
Choice A rationale
Engorgement is caused by milk overproduction or improper drainage rather than cracked nipples. While related to breastfeeding issues, it is not directly linked to cracked or bleeding nipples.
Choice B rationale
Mastitis is an infection of breast tissue that occurs due to milk stasis or blocked ducts. Cracked nipples increase infection risks, but mastitis is secondary to these infections.
Choice C rationale
Decrease in milk production is influenced by hormonal imbalances or poor latch rather than by cracked or bleeding nipples. It does not directly result from nipple trauma.
Choice D rationale
Cracked nipples create an entry point for bacteria, significantly increasing infection risks such as cellulitis or abscess formation. Proper hygiene and wound care are essential to reduce complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Feeling tired and wanting to sleep longer postpartum is common due to disrupted sleep from infant care, but it doesn't specifically indicate postpartum depression, which involves significant mood and emotional changes.
Choice B rationale
Occasional headaches postpartum can result from hormonal changes or stress, resolving with analgesics like Tylenol, and are not indicative of postpartum depression without associated mood disturbances like sadness or crying episodes.
Choice C rationale
Persistent crying and daily sadness are hallmark signs of postpartum depression, linked to hormonal imbalances, disrupted serotonin regulation, and social or emotional factors affecting maternal mental health postpartum.
Choice D rationale
Restlessness may be attributed to anxiety, but it alone doesn't conclusively diagnose postpartum depression, which involves deeper and more pervasive mood changes such as sadness or emotional withdrawal.
Correct Answer is C
Explanation
Choice A rationale
Retained placental fragments lead to delayed, not immediate, postpartum hemorrhage as they prevent complete uterine contraction over time.
Choice B rationale
Vaginal hematomas cause concealed, localized bleeding with minimal external blood loss, differing from profuse hemorrhage presentations.
Choice C rationale
Uterine atony, the most common cause, occurs when the uterus fails to contract effectively, leading to uncontrolled and excessive bleeding.
Choice D rationale
Uterine inversion, though serious, is rare and typically accompanied by visible uterine prolapse, not commonly causing profuse bleeding in the immediate postbirth period.
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