Which finding during a postnatal home visit most strongly suggests breast engorgement rather than mastitis?
Correct answer: A. Both breasts are firm and tender without fever
- A. Both breasts are firm and tender without fever
- B. One breast is red with high fever and chills
- C. A breast abscess has a fluctuant painful swelling
- D. The mother has foul-smelling vaginal discharge
Explanation
Engorgement commonly causes bilateral fullness, firmness, and tenderness without systemic illness. Fever with a localized red breast suggests mastitis, while foul-smelling discharge suggests a postpartum genital infection.
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About Maternal and Child Health in the Community
Maternal and child health covers antenatal care, danger signs in pregnancy, skilled birth attendance, postpartum care, family planning and prevention of maternal complications. It also includes newborn care, breastfeeding, growth monitoring, nutrition, immunization, common childhood illnesses and integrated management of childhood illness in the community.
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