A premature newborn is unable to suck at the breast. The nurse plans care for the mother, who is going to hand-express milk. Arrange the steps for milk expression in the correct order. Click and drag the options below to move them up or down
1. Roll the thumb and fingers simultaneously forward.
2. Position the thumb at 12:00 and the forefinger and middle finger at 6:00 around the areola.
3. Repeat the sequence multiple times to completely drain the breasts.
4. Stretch the areola back toward the chest wall without lifting the fingers off the breast.
3,1,4,2
Rationale 1: Rolling the thumb and fingers forward stimulates the breast to empty.
Rationale 2: This is the beginning position for manually expressing milk.
Rationale 3: The sequence is repeated as necessary until the desired amount has been expressed.
Rationale 4: With the fingers in the correct position, the mother stretches the areola back as far as possible.
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