HESI Basic Care and Comfort Practice Exam 2026 - Free Practice Questions and Study Guide

Engorgement from milk production is a common reason for a client to report firm and tender breasts three days postpartum. After childbirth, hormonal changes initiate the production of milk, leading to an increase in blood flow and lymphatic fluid in the breasts. This can result in the breasts becoming full, firm, and tender as they transition into the milk production phase.

Typically, engorgement occurs when the milk supply begins to increase and can happen when the baby is not feeding frequently enough or if the milk is not being effectively removed. The discomfort associated with engorgement is part of the body adjusting to breastfeeding and can resolve with regular breastfeeding or pumping sessions.

The other options relate to conditions that are less likely to occur at this early stage. Excessive milk supply can lead to similar symptoms, but it typically manifests later as the body adjusts to the breastfeeding routine. Normal hormonal changes are a part of the postpartum period but are not directly linked to the firm and tender sensation of the breasts as specifically as engorgement is. Mastitis is an infection that typically presents with more severe symptoms, including fever and localized pain, and would likely not be expected three days postpartum without other warning signs.