The nurse providing couplet care should understand that nipple confusion results when:
a. Breastfeeding babies receive supplementary bottle feedings.
b. The baby is weaned too abruptly.
c. Pacifiers are used before breastfeeding is established.
d. Twins are breastfed together.
A
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A Nipple confusion can result when babies go back and forth between bottles and breasts, especially before breastfeeding is established in 3 to 4 weeks, because the two require different skills.
B Abrupt weaning can be distressing to mother and/or baby but should not lead to nipple confusion.
C Pacifiers used before breastfeeding is established can be disruptive, but this does not lead to nipple confusion.
D Breastfeeding twins requires some logistical adaptations, but this should not lead to nipple confusion.
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