The nurse is caring for a client two weeks postpartum with reports of flu-like symptoms, headache, and tenderness to the left breast. Upon examination, the nurse assesses the client to have enlarged axillary lymph nodes.
The client is demonstrating manifestations of
The nurse is caring for a client two weeks postpartum with reports of flu-like symptoms, headache, and tenderness to the left breast. Upon examination, the nurse assesses the client to have enlarged axillary lymph nodes.
The client is demonstrating manifestations of
A. endometritis.
[2%]
B. mastitis.
[96%]
C. pelvic inflammatory disease.
[1%]
D. cystitis.
[2%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Postpartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Health Promotion/Disease Prevention
Item Type
Item Type
Analysis
Explanation
Choice B is correct. Mastitis commonly occurs 2-4 weeks postpartum. The client often experiences flu-like symptoms (fever, malaise, and axillary lymphadenopathy). The affected breast usually is tender, has erythema, and is swollen. The client's manifestation classically coincides with this infection.
Choice A is incorrect. Endometritis typically presents with symptoms such as fever, pelvic pain, and uterine tenderness. It is an inflammation of the uterine lining.
Choice C is incorrect. PID involves inflammation of the female reproductive organs and may cause pelvic pain, but it is not typically associated with symptoms localized to the breast. The symptoms described in the scenario are more consistent with breast-related issues rather than pelvic inflammatory disease.
Choice D is incorrect. Cystitis is inflammation of the bladder and is characterized by symptoms such as urinary frequency, urgency, and dysuria. It does not typically present with symptoms related to breast tenderness or enlarged axillary lymph nodes.
Related Videos
2 Key Topics
Mastitis
30.5 Postpartum Complications & Mental Health
Additional Info
✓ Mastitis is an inflammation of the breast tissue, often associated with breastfeeding.
✓ Mastitis is often caused by Staphylococcus aureus, methicillin-resistant Staphylococcus aureus (MRSA), E. coli, and streptococci. The bacteria are most often carried on the skin of the mother or in the mouth or the nose of the newborn. The organism enters through an injured area on the nipple, such as a crack or blister.
✓ The primary medical treatment for mastitis is antibiotics and continued emptying of the breast.
✓ Comfort measures during mastitis include applying moist heat or ice packs, breast support, bed rest, fluids, and analgesics.
