A newly breastfeeding mother develops mastitisJWhich of the following is the most appropriate advice?.& x20; - AIIMS M.Sc. Nsg Entrance exam-2026

AIIMS M.Sc. Nsg Entrance exam-2026

Obstetrics & Gynaecology

Easy

Appeared in: AIIMS M.Sc. Nsg Entrance exam-2026

Explanation

The cornerstone of mastitis management is frequent and effective milk removal from the affected breast.
This action helps clear blocked milk ducts, reduces milk stasis, and alleviates inflammation.
It is safe for the infant to continue nursing, as the antibodies in the breast milk provide protection against the infection.
Preventing milk stasis is critical to avoid the progression of mastitis to a more serious breast abscess.

Option A: While cold compresses can reduce pain and swelling after feeding, warm compresses are recommended before feeding to stimulate milk flow (let-down). Avoiding heat entirely is incorrect advice.
Option C: Abruptly stopping breastfeeding is dangerous as it worsens milk stasis and significantly increases the risk of developing a breast abscess.
Option D: Mothers with mastitis, especially if febrile, need increased fluid intake to maintain hydration, support the immune response, and ensure adequate milk production.

Visual 1: Diagram - Cross-section of the female breast illustrating a blocked milk duct leading to mastitis. This helps visualize the underlying pathophysiology.
Visual 2: Infographic - Key steps for managing mastitis at home, including proper latch technique, massage direction, and use of warm/cold compresses.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Management of Lactational Mastitis as background academic context rather than a clinical decision trigger.
Nurses play a vital role in educating and supporting breastfeeding mothers to prevent and manage mastitis, reducing premature weaning and complications like abscesses.
Prompt and correct advice can prevent hospitalization and the need for surgical intervention.
What if? - If the mother's symptoms (fever, redness, pain) do not improve within 24-48 hours of conservative management, she should be advised to see a healthcare provider immediately, as antibiotic therapy is likely necessary.

How to Approach the Question

Step 1: Identify the clinical condition presented in the stem: a 'newly breastfeeding mother' with 'mastitis'.
Step 2: Understand the core pathophysiology of lactational mastitis, which is milk stasis and inflammation/infection.
Step 3: Evaluate each option based on the primary goal of treatment: relieving the milk stasis.
Step 4: Option A (cold compresses) addresses symptoms but not the root cause. Option C (stopping breastfeeding) would worsen the root cause. Option D (fluid restriction) is counterproductive.
Step 5: Option B (continue breastfeeding/pumping) directly addresses the milk stasis, making it the most effective and appropriate intervention.

Concept Tested & Keywords

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