A client with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse?
a. Organisms will be inactivated by gastric acid.
b. Organisms that cause mastitis are not passed to the milk.
c. The infant is not susceptible to the organisms that cause mastitis.
d. The infant is protected from infection by immunoglobulins in the breast milk.
ANS: B
The organisms are localized in the breast tissue and are not excreted in the breast milk. The organism will not get into the infant's gastrointestinal system. Because of an immature immune system, infants are susceptible to many infections. However, this infection is in the breast tissue and is not excreted in the breast milk. The client is just producing the immunoglobulin from this infection, so it is not available for the infant.
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