A new mother who is breastfeeding complains of sore and cracked nipples. What would be the best nursing interventions to help alleviate this problem?
A) Reposition the infant.
B) Shorten the feeding period.
C) Swab the nipple with alcohol.
D) Apply cold compresses to the nipple.
A
Feedback:
Improper positioning is most often the cause of sore nipples. The suction of the baby at the breast is strongest in the first minutes of feeding, so a longer feeding period may actually reduce the chance of nipple soreness, rather than make it worse. Also, changing the position in which the mother holds the baby at the breast for each feeding session helps to change the area of greatest suction. Treatment of sore nipples includes swabbing the affected nipple with breast milk (not alcohol) and allowing it to air dry; wearing a nursing bra and leaving the flaps down for a few minutes after feeding to air dry the nipples; changing breast pads when wet; and assisting the infant to "latch on" to the nipple and areola properly. Cold compresses are not recommended.
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