The breastfeeding mother should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?
a. Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed.
b. Break the suction by inserting your finger into the corner of the infant's mouth.
c. A popping sound occurs when the breast is correctly removed from the infant's mouth.
d. Elicit Moro's reflex in the baby to wake the baby up and remove the breast when the baby cries.
B
The infant who is sleeping may lose the grasp on the nipple and areola, resulting in "chewing" on the nipple and sore nipples. Inserting a finger into the corner of the baby's mouth between the gums to break the suction avoids trauma to the breast. A popping sound indicates improper removal of the breast from the baby's mouth and may cause cracks or fissures in the breast. Most mothers prefer the infant to continue to sleep after the feeding. Gentle wake-up techniques are recommended.
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