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Practice Question

A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)

Answer Choices:

Correct Answer:

Instruct the client to wash their hands prior to breastfeeding.

Rationale:

✔️ Instruct the client to wash their hands prior to breastfeeding

Hand hygiene is a fundamental infection control measure that reduces the risk of spreading bacteria to the breast tissue and infant.

In the context of mastitis, where breast tissue is already inflamed and potentially infected, maintaining clean hands before touching the breast or baby is essential to prevent worsening of the condition or transmitting bacteria to the infant.

Proper hygiene also reduces the risk of abscess formation and ensures safe breastfeeding.

✔️ Teach the client about proper latching-on techniques

Improper latching is a leading cause of nipple trauma, which can predispose a client to mastitis by creating portals for bacterial entry.

Educating the client on how to achieve a deep latch helps prevent cracked or bleeding nipples and promotes effective milk drainage, which reduces the risk of milk stasis—another key factor in mastitis development.

Proper latching also improves breastfeeding efficiency and infant satisfaction.

✔️ Encourage the client to allow their nipples to air dry after feedings

Allowing nipples to air dry helps prevent moisture accumulation, which can promote bacterial and fungal overgrowth.

Moist environments under nursing pads or bras can exacerbate skin irritation or delay healing of nipple cracks or soreness.

Air drying supports skin integrity and comfort during the healing process and is part of non-pharmacologic care for breastfeeding complications.

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This question is from RN ATI Maternal&Newborn Assessment which contains 43 questions.

More Questions from This Exam
A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?

Answer Choices:

A. WBC count (9,000 to 30,000/mm3)
B. Glucose 35 mg/dL (greater than 40 to 45 mg/dL)
C. Bilirubin 14.0 mg/dL (1.0 to 12.0 mg/dL)
D. Platelet count 350,000tmm3 (150,000 to 300,000tmmY)
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse expect?

Answer Choices:

A. BUN 30 mg/dL (10 to 20 mg/dL)
B. Hgb 9.9 g/dL (11 to 16 gtdL)
C. Serum uric acid 2.5 mg/dl (2.7 to 7.3 mg/dL)
D. Casual blood glucose 228 mg,/dL (less than 200 mg,'dL)
A nurse is caring for a client who is postoperative following a mastectomy. The client expresses concern that they will no longer be attractive to their partner. Which of the following actions should the nurse take?

Answer Choices:

A. Discourage the client from looking at their breasts.
B. Recommend a support group for the client to attend.
C. Tell the client you are so sorry for how devastated they must feel.
D. Tell the client to focus on their postoperative recovery for now.
From Exam
RN ATI Maternal&Newborn Assessment

43 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 5
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