To prevent nipple trauma, the nurse should instruct the new mother to:
a. Limit the feeding time to less than 5 minutes.
b. Position the infant so the nipple is far back in the mouth.
c. Assess the nipples before each feeding.
d. Wash the nipples daily with mild soap and water.
ANS: B
If the infant's mouth does not cover as much of the areola as possible, the pressure during sucking will be applied to the nipple, thus causing trauma to the area. Stimulating the breast for less than 5 minutes will not produce the extra milk the infant may need. This will also limit access to the higher-fat "hindmilk." Assessing the nipples for trauma is important; however, this action alone will not prevent sore nipples. Soap can be drying to the nipples and should be avoided during breastfeeding.
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