A breast-feeding mother who was discharged yesterday calls to ask about a tender hard area on her right breast. The nurse's first response should be:

a. "Try massaging the area and apply heat; it is probably a plugged duct."
b. "Stop breast-feeding because you probably have an infection."
c. "Notify your doctor so he can start you on antibiotics."
d. "This is a normal response in breast-feeding mothers."


A
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.
Fatigue, aching muscles, fever, chills, malaise, and headache are signs of mastitis. She may have a localized area of redness and inflammation.
These are not the signs of an infection, so antibiotics are not indicated.
This is a normal deviation but requires intervention to prevent further complications.

Nursing

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