A breastfeeding 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, as this is probably a plugged duct."
b. "Stop breastfeeding because you probably have an infection."
c. "Notify your doctor so he can start you on antibiotics."
d. "This is a normal response in breastfeeding mothers."
A
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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.
B Fatigue, aching muscles, fever, chills, malaise, and headache are signs of
mastitis. She may have a localized area of redness and inflammation.
C These are not the signs of an infection, so antibiotics are not indicated.
D This is a normal deviation but requires intervention to prevent further
complications.
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