A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed.Which of the following findings indicate mastitis?
Explanation & Rationale
Choice A rationaleSymmetrical breast swelling with a sudden increase in milk production is characteristic of normal postpartum breast engorgement as lactation is established, not mastitis. Mastitis is usually localized to one breast.Choice B rationaleSwelling and redness in one breast, accompanied by flu-like symptoms such as fever, chills, and body aches, are classic signs and symptoms of mastitis, an infection or inflammation of the breast tissue.Choice C rationaleBilateral breast tenderness and engorgement without fever are typical findings of normal postpartum breast engorgement, which occurs due to increased blood flow and milk production. Fever is a key indicator of infection, such as mastitis.Choice D rationaleA white patch on a nipple is more indicative of thrush (candidiasis), a fungal infection that can occur during breastfeeding, affecting the nipple and the baby's mouth. While uncomfortable, it is distinct from mastitis.