Nipple confusion results when:
1. breastfeeding babies receive supplementary bottle feedings.
2. the baby is weaned too abruptly.
3. pacifiers are used before breastfeeding is established.
4. when twins are breastfed together.
1
1. Correct. Nipple confusion can result when babies go back and forth between bottles and breasts, especially before breastfeeding is established in 3 to 4 weeks, because the two require different skills.
2. Incorrect. Abrupt weaning can be distressing to mother and/or baby, but should not lead to nipple confusion.
3. Incorrect. Pacifiers used before breastfeeding is established can be disruptive, but this does not lead to nipple confusion.
4. Incorrect. Breastfeeding twins requires some logistical adaptations but should not lead to nipple confusion.
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