A breast-feeding mother experiences redness and pain in the left breast, a temperature of 100.8°F (38.2°C), chills, and malaise. Which condition would the nurse suspect?

Correct Answer: A

Rationale: The correct answer is A: Mastitis. The symptoms described point towards an infection of the breast tissue commonly seen in breast-feeding mothers. The redness, pain, fever, chills, and malaise are indicative of mastitis. It is important to differentiate mastitis from engorgement, which is a common issue in early breastfeeding, characterized by swelling and firmness of the breast. Blocked milk ducts may cause localized pain and tenderness but do not typically present with fever and systemic symptoms. Inadequate milk production is unrelated to the symptoms mentioned and is more related to breastfeeding challenges such as latch issues or insufficient milk removal.

Correct Answer: A,D

Rationale: The correct answers are A and D. At 18, there is an increased risk of complications due to the mother's physical immaturity. At 35, the risk increases due to advanced maternal age, associated with higher chances of chromosomal abnormalities. Choices B and C are less risky age groups compared to A and D.

Correct Answer: C

Rationale: Correct Answer: C Rationale: 1. Evaluate occupational hazards: Nurses should identify potential risks faced by migrant farm workers during pregnancy. 2. Provide education: Nurses should educate on how to minimize exposure to hazards. 3. This approach promotes a safe prenatal environment for both the mother and the baby. Summary: A. Offering medication without proper assessment can be harmful. B. Heavy lifting can increase the risk of complications and should be avoided. D. Referring all patients for mental health resources may not address the specific needs of migrant farm workers.

Correct Answer: B

Rationale: The correct answer is B: BP 152/99. In preeclampsia, high blood pressure is a hallmark sign due to systemic vasoconstriction. This can lead to complications for both the pregnant individual and the fetus. Dependent edema (A) is a common symptom but not specific to preeclampsia. Fatigue (C) can occur in pregnancy but is not a defining feature of preeclampsia. Nausea, vomiting, and weight loss (D) are not typical symptoms of preeclampsia; rather, weight gain and fluid retention are more common.

Correct Answer: C

Rationale: The correct answer is C: rubella. Rubella is a TORCH infection that can be spread through respiratory droplets. It can cause congenital heart defects, cataracts, deafness, and central nervous system abnormalities in infants if the mother is infected during pregnancy. Rubella is known to have teratogenic effects on the developing fetus. Toxoplasmosis (A) is transmitted through ingestion of contaminated food or water, not respiratory droplets. Syphilis (B) is primarily sexually transmitted or through vertical transmission during pregnancy. Cytomegalovirus (D) is typically transmitted through bodily fluids like saliva, blood, urine, and breast milk, not solely through respiratory droplets.