06-26-2010, 08:28 PM
3. A 37-year-old woman has had unilateral breast
pain, fever, and
chills for 24 hours. She breast-feeds her 1-month-old
newborn. Her
temperature is 38 C (100.4 F). Examination shows
swelling, erythema, and
localized tenderness of the left breast. Which of the
following is the
most appropriate next step in management?
A
) Application of ice packs to the affected breast
B
) Use of a breast pump
C
) Immediate discontinuation of breast-feeding
D
) Bromocriptine therapy
E
) Penicillinase-resistant antibiotic therapy