A breastfeeding client who was discharged yesterday calls to ask ...

[Capo]

A breastfeeding client who was discharged yesterday calls to ask about a tender hard area on her right breast. What should be the nurse's first response?
 
  a. This is a normal response in breastfeeding mothers.
  b. Notify your doctor so he can start you on antibiotics.
  c. Stop breastfeeding because you probably have an infection.
  d. Try massaging the area and apply heat; it is probably a plugged duct.

Question 2

Which is an important consideration about the storage of breast milk?
 
  a. Can be thawed and refrozen
  b. Can be frozen for up to 2 months
  c. Should be stored only in glass bottles
  d. Can be kept refrigerated for 48 hours

[Juro]

Answer to Question 1

ANS: D
A plugged lactiferous duct results in localized edema, tenderness, and a palpable hard area. Massage of the area followed by heat will cause the duct to open. This is a normal deviation but requires intervention to prevent further complications. Tender hard areas are not the signs of an infection, so antibiotics are not indicated. Fatigue, aching muscles, fever, chills, malaise, and headache are signs of mastitis. She may have a localized area of redness and inflammation.

Answer to Question 2

ANS: D
If used within 48 hours after being refrigerated, breast milk will maintain its full nutritional value. It should not be refrozen. Frozen milk should be kept for 1 month only. Antibodies in the milk will adhere to glass bottles. Only rigid polypropylene plastic containers should be used.