The mother of an infant born 32 weeks premature expresses the desire to breast-feed her child. An appropriate suggestion by the nurse would be
1. "Mothers who cannot directlybreast-feed should talk with and stroke their infants during gavage feedings as this may help facilitate milk letdown"
2. "The letdown reflex is best initiatedby having the baby suck at the breast"
3. "Pumping should be done nomore than three times daily, making sure to empty each breast completely"
4. "The mother should beginpumping by six hours postpartum to ensure adequate milk production"
Answer:4
Rationale:It is best for the mother to initiate the letdown reflex by stimulating the breast prior to feeding so that the infant will not have to suck as hard,which can burn unnecessary calories.Breast pumping should be done at least five or more times per day to insure an adequate supply of milk. The sooner the mother can begin breast pumping postpartum,the more likely she is to produce an adequate milk supply.
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