The nurse is bringing a newborn to her mother to breastfeed for the first time. Which of the following interventions would be appropriate to facilitate the process?
A) Set a schedule; do not allow the newborn to breastfeed as often as the mother wishes.
B) Allow the baby to feed on one breast for 20 minutes before offering the other breast.
C) If engorgement occurs, teach the mother to apply cold compresses.
D) When finished nursing, teach the mother to place the baby on his or her back.
D
Feedback:
After feeding, the mother should place the baby on the back or side because sleeping on the back decreases the risk of SIDS. Newborns are usually fed "on demand" or approximately every 2 to 4 hours. The baby should nurse at least 10 minutes on one breast before being offered the other breast. If engorgement is present, have the mother shower or use warm, moist heat before it is time to nurse, and then manually express some milk to soften the breast.
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