Difficulty: Medium
Average Score: 94%
Simulated
Passage / Scenario
History and PhysicalNurses' Notes
Flow Sheet
Laboratory Results
38-year-old primiparous client is seen in the outpatient obstetric office 2 weeks postpartum after a spontaneous vaginal birth of a full-term infant after rupture of membranes for 16 hours. The client was discharged on day 2, exclusively breastfeeding.
The nurse knows that the mastitis in this scenario is most likely caused by... as evidenced by...
Correct answer
A,E
Rationale
A plugged duct, evidenced by a firm, red, warm area, is the likely cause of mastitis due to milk stasis from missed feedings. Abscess, engorgement, or nipple trauma are less likely without pus, generalized swelling, or reported cracks.