A client who delivered a day ago has chosen to breastfeed her infant. Which observation best indicates that the client understands breastfeeding?
1. The infant is crying when brought to the breast.
2. The client takes off her gown to achieve skin-to-skin contact.
3. The infant is held so that the nipple is accessed by turning the head.
4. The client puts the infant to breast when the baby is asleep to help wake the baby up.
2
Explanation:
1. Crying is a late cue of hunger. Newborns should be put to breast when they begin rooting, lip-smacking, or tongue-thrusting behaviors.
2. Skin-to-skin contact creates tactile sensations that increase the sucking of newborns.
3. The infant should be held in a "tummy-to-tummy" position so that the head does not have to turn to find the nipple and access the breast.
4. Breastfeeding is more successful if the infant is in the alert–awake state when put to breast. Putting a newborn to breast is not likely to wake the infant up to feed.
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