Which of the following is a sign of abnormal engorgement in the breasts?

Unrelieved engorgement in the breasts is indeed indicative of an abnormal condition. When engorgement occurs, it typically happens as a result of milk accumulation in the breasts, often seen in the early postpartum period, particularly if the baby is not feeding effectively or frequently enough.

Normal engorgement usually resolves with proper breastfeeding practices, leading to relief from discomfort as milk is expressed or fed to the infant. However, in cases of unrelieved engorgement, the pressure and fullness remain, which can cause significant discomfort and potential complications such as mastitis or blocked ducts if not addressed.

The presence of soft and tender breasts typically suggests that the breast tissue is easing and responding well to breastfeeding or pumping. Quick resolution also indicates that the breastfeeding routine is effectively addressing the engorgement. Therefore, a sign of abnormal engorgement is when the condition persists without relief, highlighting a need for intervention in the breastfeeding routine to improve the situation.