Nurses should be able to tell breastfeeding mothers that all of the following are signs that the infant has latched on correctly to her breast except:

1. she feels a firm tugging sensation on her nipples but not pinching or pain.
2. the baby sucks with cheeks rounded not dimpled.
3. the baby's jaw glides smoothly with sucking.
4. she hears a clicking or smacking sound.


4
1. Incorrect. The tugging sensation without pinching is a good sign. The clicking or smack-ing sound may indicate the baby is having difficulty keeping the tongue out over the lower gum ridge. The mother should hope to hear the sound of swallowing.
2. Incorrect. Rounded cheeks are a good sign. The clicking or smacking sound may indicate the baby is having difficulty keeping the tongue out over the lower gum ridge. The mother should hope to hear the sound of swallowing.
3. Incorrect. A smooth gliding jaw is a good sign. The clicking or smacking sound may in-dicate the baby is having difficulty keeping the tongue out over the lower gum ridge. The mother should hope to hear the sound of swallowing.
4. Correct. The clicking or smacking sound may indicate the baby is having difficulty keeping the tongue out over the lower gum ridge. The mother should hope to hear the sound of swallowing.

Nursing

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