A mother reports discharge from the nipple while breastfeeding. What is the appropriate nursing response?

• A. It indicates an infection; begin antibiotics.
• B. This is a normal finding; clean the nipple.
• C. Discontinue breastfeeding until evaluation.
• D. Schedule a mammogram.

Answer: (B)

Nipple discharge during breastfeeding is often milk being released through the let-down reflex, and a small amount of discharge is a normal finding. The best nursing response is to reassure the mother and focus on nipple care: gently wash the nipple with warm water, let it air-dry, and continue breastfeeding so the breasts are regularly emptied. Avoid harsh soaps on the nipple area and address any cracks or skin irritation promptly. Antibiotics, stopping breastfeeding, or scheduling a mammogram aren’t indicated unless there are additional signs—such as redness, fever, swelling, persistent unusual discharge, or discharge when not feeding—that would suggest a problem requiring further evaluation.