Nurses should be able to teach breastfeeding mothers the signs that the infant has latched on correctly. Which statement indicates a poor latch?
a. She feels a firm tugging sensation on her nipples but not pinching or pain.
b. The baby sucks with cheeks rounded, not dimpled.
c. The baby's jaw glides smoothly with sucking.
d. She hears a clicking or smacking sound.
ANS: D
The clicking or smacking sound may indicate that the baby is having difficulty keeping the tongue out over the lower gum ridge. The mother should hope to hear the sound of swallowing. The tugging sensation without pinching is a good sign. Rounded cheeks are a positive indicator of a good latch. A smoothly gliding jaw is a good sign.
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