During a home visit, a new mother who is breastfeeding complains that her nipples are sore and cracked. Which measures should the nurse suggest? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Alternate the baby's nursing positions throughout the day.
2. Bring the baby close to feed so the baby does not pull on the breast.
3. Avoid placing the areola in the baby's mouth.
4. Insert a finger between the infant's gums to break the latch before removing from the breast.
5. Wash the breasts with warm water, and avoid drying soaps.
1,4,5
Rationale 1: Changing positions alters the focus of greatest stress and promotes more complete emptying of the breasts.
Rationale 2: The baby should be held close to feed so that the nipple is not stretched.
Rationale 3: As much of the areola as possible should be inserted into the baby's mouth, so that the baby is not just sucking on the nipple.
Rationale 4: This breaks the suction prior to removing the nipple from the baby's mouth, preventing trauma to the nipple.
Rationale 5: Keeping the nipples dry and preventing cracking by avoiding the use of drying soaps will help to heal the nipples.
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