A nursing mother complains that her breasts are tender. You assess hard, shiny, and erythemic breasts bilaterally. You should advise the patient to:
a. massage gently and continue nursing.
b. apply warm compresses and stop nursing.
c. monitor her temperature and restrict flu-ids.
d. sleep wearing a bra and wash her breasts with antibacterial soap.
A
This patient has mastitis. The aim of treatment is to promote breast drainage. You should not ad-vise the patient to apply warm compresses and stop nursing. Applying warm compresses will not encourage breast milk flow, and stopping nursing will increase the risk of a breast infection turning into a breast abscess. Monitoring her temperature and restricting fluids do not encourage breast milk flow. Sleeping with a bra and washing the breasts with antibacterial soap do not en-courage breast milk flow. Only mild soaps are advised; harsh soaps can dry and crack the nipple and compound infection.
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