The postpartum multip is breastfeeding her new baby. The client ...

[karlynnae]

The postpartum multip is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks if there is something she can do to prevent mastitis this time. The best response of the nurse is:
 
  1. Massage your breasts on a daily basis, and if you find a hardened area, massage it towards the nipple to unblock that duct.
  2. Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again.
  3. Apply cold packs to any areas that feel thickened or firm in order to relieve the swelling and stasis of the milk in that area.
  4. Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe.

Question 2

A woman is 30 weeks pregnant. She has come to the hospital because her membranes have ruptured spontaneously. The Labor and Delivery nurse explains what will be done for the client and her fetus. Which statement should the nurse include?
 
  1. We will give you medication to help the baby's lungs mature.
  2. Infection is not an issue, but we'll monitor you for infection.
  3. An IV will be started to increase your intravascular fluid volume.
  4. Since you are coping fine, we'll transfer you to the high-risk floor.

[Dunkey]

Answer to Question 1

1
Rationale:
1. A hardened area could indicate a blocked duct. Massage of the blocked duct toward the nipple will help to unplug the duct and relieve stasis of the milk, thereby preventing mastitis.
2. This statement is not true.
3. Warm packs, not cold packs, should be applied to areas that are warm, red, or hardened.
4. The onset of mastitis is quite rapid, and taking the temperature daily is not likely to be helpful for catching early onset of the infection. Massaging the area to unplug the duct and relieve milk stasis is much more effective.

Answer to Question 2

1
Rationale:
1. Because of the rupture of membranes and the preterm status, an attempt will be made to mature the fetal lungs and maintain the pregnancy for as long as possible.
2. Prolonged rupture of membranes carries an increased risk of infection. The membranes of this patient have just ruptured so therefore the risk is less and not the priority.
3. This client is not at risk for fluid volume deficit.
4. There is not enough information to determine how she is coping.

[karlynnae]

Thank you

[Dunkey]

No problemo