Three weeks following delivery, the new mother develops mastitis. ...

[james0929]

Three weeks following delivery, the new mother develops mastitis. Which statement by the nurse is most appropriate?
 
  a. It's sad that you won't be able to breastfeed any longer.
  b. Continuing to breastfeed frequently will aid in pain relief.
  c. You should pump your breasts until the infection is cleared.
  d. Only allow your baby to nurse for five minutes on each breast.

Question 2

During a 4-week postpartum checkup, the woman tells the clinic nurse that she is still bleeding. The nurse notes the presence of lochia rubra and a fundal height midway between the umbilicus and symphysis pubis.
 
  The nurse suspects late postpartum hemorrhage, most likely as a result of:
  a. An undetected cervical laceration
  b. Subinvolution of placental site
  c. A coagulation disorder
  d. Defective vascularity of the decidua

[ngr69]

Answer to Question 1

ANS: B
Emptying the breast decreases engorgement and provides pain relief. It is not necessary to stop breastfeeding due to mastitis. A baby with vigorous sucking can empty the breast better than a pump or manual expression. The infant should be allowed to fully empty the breast. Feeding can be done every 1 1/2 to 2 hours to ensure comfort and prevent milk stasis.

Answer to Question 2

ANS: B
Subinvolution of the uterus occurs when the uterus fails to return to its pre-pregnant size. It remains enlarged and still has a lochial discharge. Subinvolution may result from a small retained placental fragment or mild endometritis.