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

    Exhibits Which education by the nurse will help resolve the issue for the client? Select all that apply.

    Explanation & Rationale

    A. Pump breasts if feeding will be missed, due to absence from the infant: Pumping during missed feedings prevents milk stasis, a major contributor to mastitis. Consistent milk removal reduces engorgement, pain, and bacterial growth, promoting faster recovery. B. Vary breastfeeding positions at each feeding: Changing positions ensures all breast segments are adequately drained, reducing localized milk stasis and preventing recurrence of mastitis. It also encourages complete emptying and improved milk flow. C. Start infant on the unaffected side, so there is less pain when infant is the hungriest: Beginning with the unaffected breast promotes a stronger suck, reducing discomfort on the affected side while still encouraging milk removal from both breasts. D. Apply warm compresses to affected area before feeding: Warmth dilates ducts and improves milk flow, helping relieve engorgement and tenderness. This measure enhances comfort and aids in the healing of the inflamed area. E. Wear an underwire bra around the clock: Tight or underwire bras can restrict milk flow and worsen blocked ducts. A supportive, nonrestrictive bra should be worn instead to avoid pressure on breast tissue. F. Maintain activity due to the risk of blood clots with extra rest: Mastitis management involves rest to support immune recovery. Excessive activity may worsen fatigue and inflammation, delaying healing. G. Wash hands before handling the breast: Proper hand hygiene helps prevent bacterial introduction to the breast tissue, reducing the risk of worsening infection or recurrence during breastfeeding and pumping. H. Finish antibiotics even if symptoms improve: Completing the full course of prescribed antibiotics ensures full bacterial eradication, prevents relapse, and reduces the risk of antibiotic resistance. I. Pump breastmilk and feed it to infant instead of nursing: Continued direct breastfeeding promotes effective drainage of the affected breast and is safe for the infant. Stopping nursing can worsen milk stasis and delay healing.

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