The nurse is giving discharge instructions to a mother diagnosed with mastitis. Which of the following is included in her teaching?
  1. Breastfeeding is discontinued on the affected breast until the infection is resolved.
  2. Expressing or pumping milk from the affected breast is encouraged if the pain stops the client from breastfeeding.
  3. Breastfeeding must be stopped if the baby becomes reluctant to nurse on the painful breast.
  4. Before breastfeeding, apply cold application on the affected breast for 15 minutes.
Explanation
Answer - B - Nipple pain can stop the client from breastfeeding. Expressing or pumping milk from the affected breast is encouraged to allow continued milk production. Warming the breast 15 minutes before feeding encourages milk flow. If the baby seems reluctant to feed on the affected breast, it is not because the milk tastes different, but because the breast feels different.
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