A nurse is caring for a postpartum client in an Outpatient setting. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown evidenced by the client’s dropdown.
Explanation & Rationale
Mastitis is an infection of the breast tissue that commonly occurs 2–3 weeks postpartum, particularly in breastfeeding clients. The primary risk factor is a cracked or damaged nipple, which allows bacteria (often Staphylococcus aureus) to enter the breast tissue. The client is actively breastfeeding and has a visible crack on the left nipple, putting her at highest risk for developing mastitis. Rationale for Incorrect Options: Endometritis: Typically occurs within the first week postpartum after cesarean birth or prolonged rupture of membranes. This client is 2 weeks postpartum after vaginal birth, fundus is non-palpable (normal involution), and she has only a small amount of whitish-yellow discharge, making endometritis less likely. Perineal hematoma: Usually develops within 24 hours of vaginal delivery due to trauma. The client’s perineal discomfort is mild and well past the acute phase, so a hematoma is unlikely.