A postpartum multipara is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks if there is something she can do to prevent mastitis this time. Which response by the nurse is most appropriate?
1. "Massage your breasts on a daily basis, and if you find a hardened area, massage it toward 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 cold packs to any areas that feel thickened or firm in order to relieve the swelling and stasis of the milk in that area."
4. "Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe."
1
Explanation:
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.
2. It is not unusual for mothers to develop complications similar to those experienced in prior pregnancies.
3. Warm packs, not cold packs, should be applied to areas that are warm, red, or hardened.
4. The onset of mastitis is quite rapid, and taking the temperature daily is not likely to be helpful for detecting early onset of the infection. Massaging the area to unplug the duct and relieve milk stasis is much more effective.
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