A breastfeeding client who was discharged yesterday calls to ask about a tender hard area on her right breast. What should be the nurse's first response?
A) "This is a normal response in breastfeeding mothers."
B) "Notify your doctor so he can start you on antibiotics."
C) "Stop breastfeeding because you probably have an infection."
D) "Try massaging the area and apply heat; it is probably a plugged duct."

Question

Quizplus · Accepted Answer

A plugged lactiferous duct results in localized edema, tenderness, and a palpable hard area. Massage of the area followed by heat will cause the duct to open. This is a normal deviation but requires intervention to prevent further complications. Tender hard areas are not the signs of an infection, so antibiotics are not indicated. Fatigue, aching muscles, fever, chills, malaise, and headache are signs of mastitis. She may have a localized area of redness and inflammation.

A Breastfeeding Client Who Was Discharged Yesterday Calls to Ask