A new mother reports that her infant son's breasts are enlarged and tender. How can the nurse best respond?
1. "Bring him to the clinic immediately; we need to examine him more closely.".
2. "This sometimes happens in babies whose gender is not clear.".
3. "Occasionally a baby is born with a cyst or tumor, but they generally disappear by the time the baby is a month old.".
4. "Babies of both genders often have breast enlargement, which will go away in a month or so.".
4
Rationale 1: This is not an emergent situation. There is no need to bring the baby to the clinic immediately.
Rationale 2: This enlargement has nothing to do with gender.
Rationale 3: This tissue enlargement is not likely due to a cyst or tumor.
Rationale 4: Gynecomastia related to the newborn period resolves within the first month of life.
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