Exhibits
Which description(s) by the client should help confirm that the mastitis has been resolved and breastfeeding/breast health is well maintained? Select all that apply.
After a feeding, the nipple is creased.
The feelings of fatigue continue, but there are no chills, achiness, or dizziness.
The infant continues to want to nurse all the time.
The temperature taken at home is 99.0° F (37.2° C).
Pain during feeding lasts for 10 of the 20 minutes of the feed.
Pumping continues on the right side instead of breastfeeding on that side.
The red area on her right breast has resolved.
The infant is breastfeeding every 2 to 3 hours for 20 minutes in a variety of positions.
Correct Answer : D,G,H
A. After a feeding, the nipple is creased. A creased nipple suggests a poor latch, which can lead to ineffective milk removal and increase the risk of recurrent mastitis. A proper latch should be deep, with the baby covering a large portion of the areola, ensuring effective drainage of the breast.
B. The feelings of fatigue continue, but there are no chills, achiness, or dizziness. While the absence of chills, achiness, and dizziness indicates improvement, persistent fatigue may suggest anemia, inadequate hydration, or continued recovery from infection. Fatigue alone does not confirm complete resolution of mastitis.
C. The infant continues to want to nurse all the time. Cluster feeding can be normal during growth spurts, but persistent frequent feeding beyond 2–3 hours may indicate poor milk transfer, low supply, or ineffective latch. Mastitis resolution should result in more effective milk drainage and a more predictable feeding pattern.
D. The temperature taken at home is 99.0° F (37.2° C). A normal temperature suggests that the infection and systemic inflammation have resolved. Mastitis is characterized by fever, so its absence indicates improvement.
E. Pain during feeding lasts for 10 of the 20 minutes of the feed. Persistent pain, especially for half the feeding duration, may indicate ongoing inflammation, nipple trauma, or unresolved infection. Resolution of mastitis should lead to pain-free or minimal discomfort during feeding.
F. Pumping continues on the right side instead of breastfeeding on that side. If the affected breast is still too painful for direct nursing, this suggests ongoing inflammation or poor resolution of mastitis. Ideally, the mother should be able to comfortably breastfeed from both breasts.
G. The red area on her right breast has resolved. The disappearance of redness, swelling, and warmth indicates resolution of localized inflammation and infection, confirming improvement in mastitis.
H. The infant is breastfeeding every 2 to 3 hours for 20 minutes in a variety of positions. Effective breastfeeding frequency and positioning ensure proper milk drainage, reducing the risk of recurrence. Mastitis resolution should allow the mother to comfortably breastfeed at regular intervals with different holds to promote complete emptying of all milk ducts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["450"]
Explanation
Calculate the concentration of the solution:
Concentration = Total grams of magnesium sulfate / Total volume (mL)
= 20 grams / 500 mL
= 0.04 grams/mL
Calculate the volume needed for the prescribed dose:
Volume (mL) = Desired dose (grams) / Concentration (grams/mL)
= 6 grams / 0.04 grams/mL
= 150 mL
Calculate the infusion rate in mL/hour:
Infusion rate (mL/hour) = Volume (mL) / Time (minutes) x 60 minutes/hour
= 150 mL / 20 minutes x 60 minutes/hour
= 450 mL/hour
The nurse should set the infusion pump to deliver 450 mL/hour.
Correct Answer is D
Explanation
A. Detection of early symptoms of Jarisch-Herxheimer reaction. The Jarisch-Herxheimer reaction is a transient inflammatory response that occurs after antibiotic treatment for certain spirochetal infections, such as syphilis. It is not associated with pelvic inflammatory disease (PID) or its treatment, making this answer unrelated to the client’s condition.
B. Collection of serial anaerobic cultures of vaginal discharge. PID is a clinical diagnosis based on symptoms and risk factors rather than routine anaerobic cultures. Vaginal cultures are not commonly used to guide treatment, as PID is often polymicrobial and empirical broad-spectrum antibiotic therapy is preferred.
C. Implementation of contact precautions to prevent spread of infection. PID is not a highly contagious condition requiring contact precautions. While it is often caused by sexually transmitted pathogens like Chlamydia trachomatis or Neisseria gonorrhoeae, transmission occurs through intimate contact rather than casual hospital exposure.
D. Administration of a supervised parenteral antibiotic protocol. Hospitalization is recommended for clients with severe PID, those who do not respond to oral therapy, or those at risk for complications such as tubo-ovarian abscess. In this case, the client has been on oral and IV antibiotics for 14 days without resolution, necessitating inpatient management with supervised intravenous antibiotic therapy to ensure effective treatment and prevent further complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.