237 ) A 25-year old primi-para is evaluated for soreness in her breasts. She just started breast feeding her three day old male infant. She also reports low grade fever over the past few hours. On examination, her temperature is 99.2F. Her breasts are hard and swollen. They are warm to touch. She has pain on movement of the breast. Which of the following is the most appropriate recommendation?
A) Hand expression of milk between feedings
B) Use of ”Breast Pump”
C) Correction of improper “Latch on”
D) Re-assurance
E) Breast massage
Filed under: USMLE Test Prep | Tagged: archer obstetrics, archer pediatrics, breast feeding problems, obstetrics, usmle step 3 gynecology and obstetrics, usmle step 3 obstetrics, USMLE STEP3 PEDIATRICS |
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c
B
i choose C 🙂
D… 🙂
B) Use of ”Breast Pump” -Breast engorgement
b
b
A) Breast engoregment – Hand expression of milk between feedings may be necessary to relieve engorgement (first step). This is actuallly better than using pump which even though helps may cause nipple injury/pain/discomfort. Breast massage also helps too
http://www.babycenter.com/0_engorged-breasts_231.bc
Agreed!