What factors could contribute to mastitis in a breastfeeding mother? (Select all that apply.)
Breastfeeding every 2 hours
Substituting breastfeeding sessions with formula feeding
Blisters and cracks on both nipples
Alternating breastfeeding positions
Correct Answer : B,C,D
Choice A rationale
Breastfeeding every 2 hours is actually recommended for newborns and is not a contributing factor to mastitis.
Choice B rationale
Substituting breastfeeding sessions with formula feeding can contribute to mastitis. This is because the milk that is not removed from the breast can lead to engorgement and blocked ducts, which can result in infection.
Choice C rationale
Blisters and cracks on the nipples can allow bacteria to enter the breast tissue, leading to infection and mastitis.
Choice D rationale
Alternating breastfeeding positions can help ensure that the breasts are emptied completely during each feeding, which can help prevent mastitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Atelectasis, or collapse of part or all of a lung, is a potential complication of respiratory distress syndrome in neonates. However, it would not typically cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting.
Choice B rationale
Congenital cardiac disease could potentially cause symptoms such as increased feeding without weight gain, but it would not typically cause abdominal distention and vomiting. Furthermore, congenital cardiac disease would likely have been detected prior to the onset of respiratory distress syndrome.
Choice C rationale
Necrotizing enterocolitis is a serious intestinal condition that can occur in premature infants, particularly those with respiratory distress syndrome. Symptoms can include increased feeding without weight gain, abdominal distention, and vomiting.
Choice D rationale
An allergy to infant formula could potentially cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting. However, this would not typically be associated with respiratory distress syndrome. .
Correct Answer is C
Explanation
Choice A rationale
Hypothermia is not a typical response to phototherapy in an isolette. The heat from the phototherapy lights would typically prevent hypothermia.
Choice B rationale
Bradycardia, or a slow heart rate, is not a typical response to phototherapy in an isolette. If bradycardia occurs, it could be a sign of a serious condition that needs immediate medical attention.
Choice C rationale
Dehydration is a possible response to phototherapy in an isolette. The lights used in phototherapy can cause an infant to lose more water through their skin, leading to dehydration.
Choice D rationale
Decreased muscle tone is not a typical response to phototherapy in an isolette. If decreased muscle tone is observed, it could be a sign of a serious condition that needs immediate medical attention.
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