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
Feedback
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 require some logistical adaptations, but this should not lead
to nipple confusion.
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