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    Rn Hesi Pediatric And Women Health Proctored Exam
    Select All That Apply

    Exhibits Which description(s) by the client should help confirm that the mastitis has been resolved and breastfeeding/breast health is well maintained? Select all that apply.

    Explanation & Rationale

    A. The infant continues to want to nurse all the time: Frequent and constant nursing can indicate that the baby is not effectively transferring milk or that maternal supply is low. This does not confirm resolution of mastitis or effective breastfeeding. B. After a feeding, the nipple is creased: A creased nipple suggests an improper latch or shallow suck, which can lead to nipple trauma and recurrent mastitis. Proper latch results in a rounded nipple after feeding. C. Pain during feeding lasts for 10 of the 20 minutes of the feed: Persistent pain during feeding indicates ongoing nipple or breast issues such as poor latch or unresolved inflammation. Pain should subside after the initial latch with proper positioning. D. The red area on her right breast has resolved: The disappearance of redness and tenderness confirms that inflammation and infection have subsided, indicating effective antibiotic therapy and healing of mastitis. E. The feelings of fatigue continue, but there are no chills, achiness, or dizziness: Fatigue can linger postpartum, but the absence of systemic symptoms such as chills, body aches, or dizziness shows the infection has resolved. F. The infant is breastfeeding every 2 to 3 hours for 20 minutes in a variety of positions: Regular, well-spaced feedings and varied positions promote effective drainage of all breast lobes and help maintain breast health, reducing recurrence risk. G. Pumping continues on the right side instead of breastfeeding on that side: Continued pumping rather than direct breastfeeding suggests incomplete recovery or discomfort. Direct breastfeeding should resume once mastitis has resolved. H. The temperature taken at home is 99.0° F (37.2° C): A normal body temperature indicates that the infection is no longer active and the client is afebrile, confirming effective treatment of mastitis.

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