S.H. is an 11-year-old African American female who visited the

options: Question 49 of 85 A 28-year-old female client is seen in the postpartum clinic with reports of general aches and pains as well as left nipple pain and engorgement on postpartum day 8. Complete the following sentences by choosing from the list of options. The nurse should recognize that the client is exhibiting signs and symptoms of Clinic Nurses’ Notes Mastitis . The accumulation of milk in the breast is referred to as 1300 28-year-old female, 8 days postpartum, reporting feeling “achy all over” > , and is often the initiating factor for this condition. The and a continuous burning sensation in left breast for past day. Further reports having chills and shivering last night. Gravida 2 para 2. Pregnancy was client should be made aware that stopping breast feeding of the affected breast may uneventful. Infant was born by vaginal delivery at 39 weeks. Client has a son, 2 increase the risk for years of age, at home whom she attempted to nurse for three weeks but quit because of severely sore nipples. Client desires to stop nursing this child. The couple did not attend breastfeeding classes. During the last 24 hours, the client nursed every 2.5 hours, switching breasts every 10 minutes. Feedings take 20 to 30 minutes. Breast examination revealed moderately engorged breasts. Nipples are everted, 1 cm in size. A hard, tender lump noted from 1 to 3 o’clock on the left breast. Erythema and heat noted over area. Areolae 3.5 cm moist and intact. BP 112/74, HR 96, RR 16, T 100.40F (38.C)

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