A breastfeeding mother has a painful, fluctuant lump in one breast with fever despite earlier treatment for inflammation. Which action is most appropriate?
Correct answer: A. Arrange prompt medical assessment for a possible breast abscess
- A. Arrange prompt medical assessment for a possible breast abscess
- B. Apply a tight breast binder and stop emptying the affected breast
- C. Massage the lump forcefully until all pain and swelling disappear
- D. Wait one week because localized breast lumps are always normal
Explanation
A fluctuant painful lump with fever suggests a breast abscess and requires prompt medical assessment for antibiotics and possible drainage. Breast emptying is generally maintained as advised, while forceful massage and breast binding can worsen tissue injury or milk stasis.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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