NCLEX OB Postpartum Practice Test

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Which statement indicates a need for further teaching regarding mastitis management?
Correct Answer:
I need to stop breastfeeding until this condition resolves.
Explanation:
Continuing to breastfeed during mastitis is a key part of effective management. When milk is regularly removed from the breast, it helps clear the ductal congestion and reduces milk stasis, which often drives infection and painful swelling. Stopping breastfeeding would leave milk in the ducts, increasing engorgement and prolonging symptoms. So the idea of stopping breastfeeding until the problem resolves reflects a misunderstanding and needs teaching. In practice, you’d encourage-feeding on the affected side more frequently, ensure a good latch, and use supportive measures. Analgesics can help with pain, and antibiotics are used if a bacterial infection is suspected, with improvement expected over several days rather than guaranteeing relief within 24–48 hours. Warm compress before feeds and cool compresses after, plus staying hydrated, can also be helpful. If fever persists, redness spreads, or symptoms don’t improve in a couple of days, follow up with a clinician.

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