Which measure may prevent mastitis in a breastfeeding client? ...

[itsmyluck]

Which measure may prevent mastitis in a breastfeeding client?
 
  a. Wearing a tight-fitting bra
  b. Applying ice packs prior to feeding
  c. Initiating early and frequent feedings
  d. Nursing the infant for 5 minutes on each breast

Question 2

The nurse expecting a uterine infection in a postpartum client should assess the:
 
  a. episiotomy site.
  b. odor of the lochia.
  c. abdomen for distention.
  d. pulse and blood pressure.

[harveenkau8139]

Answer to Question 1

ANS: C
Early and frequent feedings prevent stasis of milk, which contributes to engorgement and mastitis. Five minutes does not empty the breast adequately. This will produce stasis of the milk. A firm-fitting bra will support the breast, but not prevent mastitis. The breast should not be bound. Warm packs before feeding will increase the flow of milk.

Answer to Question 2

ANS: B
An abnormal odor of the lochia indicates infection in the uterus. The infection may move to the episiotomy site if proper hygiene is not followed. The abdomen becomes distended usually because of a decrease of peristalsis, such as after cesarean section. The pulse may be altered with an infection, but the odor of the lochia will be an earlier sign and will be more specific.

[itsmyluck]

Thanks for the timely response, appreciate it

[nguyenhoanhat]

Wow, this really help