The postpartum multipara is breastfeeding her new baby. The patient states that she developed mastitis with her first child, and asks whether there is something she can do to prevent mastitis this time. The best response of the nurse is:
1. "Massage your breasts on a daily basis, and if you find a hardened area, massage it towards the nipple to unblock that duct."
2. "Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again."
3. "Apply cabbage leaves to any areas that feel thickened or firm to relieve the swelling."
4. "Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe."
1
Rationale 1: A hardened area could indicate a blocked duct. Massage of the blocked duct toward the nipple will help to unplug the duct and relieve stasis of the milk, thereby preventing mastitis.
Rationale 2: This statement is not accurate.
Rationale 3: Cabbage leaves are applied to suppress lactation, not prevent mastitis.
Rationale 4: The onset of mastitis is quite rapid, and taking the temperature daily is not likely to be helpful for catching early onset of the infection.
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