Practice Question
A 34-year-old woman who is breastfeeding presents with nipple candidiasis. Which is the safest recommended treatment?
Answer Choices:
Correct Answer:
Topical clotrimazole cream to the nipple
Rationale:
🌸 Clotrimazole is highly effective against Candida albicans, the primary cause of nipple thrush.
🌸 It is minimally absorbed, making it safe for infants during breastfeeding when excess is wiped before feeds.
🌸 Topical azoles are recommended in lactation guidelines because they effectively treat maternal infection without exposing the infant to systemic medications.
🌸 This option supports continued breastfeeding while delivering direct, targeted therapy to the affected nipple.
❌ Incorrect Options
🌸 Oral nystatin suspension applied to nipple – Not appropriate for maternal topical use.
🌸 Ketoconazole cream – More systemic concerns; not first choice in breastfeeding.
🌸 Terbinafine cream – Weak Candida activity; not recommended for nipple thrush.
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This question is from Pharmacology Exam 2 2025 which contains 51 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🚑Pharmacology
- Answer Choices: 4