An RN working the 11 to 7 shift on Saturday night receives the following phone call from a recently discharged client, "I'm breastfeeding and my nipples are getting very sore. My baby is nursing every 4 hours for about 10 minutes on each side
Do you have any suggestions for me?" What is the best response to this inquiry? a. "Feed from only one breast each feeding to allow each side time to heal."
b. "It may help to nurse your baby more fre-quently and alternate positions."
c. "Remove a nipple from one of the sample bottles you received and use it to protect your nipple while you nurse."
d. "Try giving your baby formula for a day until your nipples heal."
B
More frequent nursing and alternating positions should decrease the pressure on the nipples. She also should be sure to air dry her nipples after each feeding. Using a nipple shield usually is reserved for use with cracked nipples. Giving the baby formula for a day until the nipples heal is inappropriate, as it will decrease the mother's milk supply.
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