Practice Quiz

CNM Certified Nurse Midwife

Category - Newborn

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A mother who gave birth a week ago comes to the facility complaining of a cracked and fissured nipple on her right breast. The mother is diagnosed with mastitis. Which of the following teachings is the most effective when managing a client with mastitis?
  1. Instruct the client to discontinue breastfeeding until antibiotic therapy is completed.
  2. Instruct the client to start breastfeeding on the left breast.
  3. Offer formula milk if the breasts are too painful when breastfeeding.
  4. Instruct the client to avoid wearing bras until the pain is tolerable.
Explanation
Answer: B - If a client has one good and one cracked nipple, instruct her to begin breastfeeding on the unaffected nipple. Antibiotic therapy is prescribed for clients with mastitis, but the mother should be advised to continue breastfeeding. If the breasts are too painful, the mother may manually extract the milk until the mastitis is resolved. The client must be instructed to wear a good supportive bra to relieve pain.
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