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 B
Explanation
Choice A rationale
Denying parents the ability to hold their infant can interfere with bonding. Physiologically stable infants on oxygen benefit from being held, as it supports emotional well-being and parent-infant attachment without compromising oxygen delivery.
Choice B rationale
Holding a physiologically stable infant during gavage feeding fosters bonding, reduces parental anxiety, and stabilizes the infant's physiological parameters, as tactile stimulation aids neurodevelopment without causing stress to the infant's cardiorespiratory system.
Choice C rationale
Handholding alone is insufficient to support bonding and emotional connection. Physiologically stable infants benefit from full body contact during feeding to promote warmth, comfort, and the release of calming hormones like oxytocin.
Choice D rationale
Physiologically stable infants do not experience increased stress during feeding when held. Holding provides comfort and reduces stress, improving the feeding experience and supporting parent-infant bonding and attachment.
Correct Answer is B
Explanation
Choice A rationale
Surgical intervention is a secondary measure for obstetric hemorrhage and is considered only after initial non-invasive interventions fail to control bleeding, such as fundal massage and uterotonic medications.
Choice B rationale
Fundal massage is the first-line intervention for uterine atony as it stimulates uterine contractions, reducing blood loss by compressing blood vessels at the placental site and promoting hemostasis.
Choice C rationale
Establishing venous access is essential for fluid resuscitation and medication administration but is not the immediate priority compared to fundal massage for controlling active bleeding.
Choice D rationale
Catheterizing the bladder may help assess urinary output and prevent bladder distension, which can impede uterine contraction, but it is not the initial intervention for hemorrhage.
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