Question

A nurse is evaluating a woman's breastfeeding technique. Which of the following actions would indicate that the woman needs further instruction regarding breastfeeding to ensure success? (Circle all that apply.)

a. Washes her breasts and nipples thoroughly with soap and water twice a day
b. Massages a small amount of breast milk into her nipple and areola before and after each feeding
c. Lines her bra with a thick plastic-lined pad to absorb leakage
d. Positions baby supporting back and shoulders securely and then brings her breast toward the baby, putting the nipple in the baby's mouth
e. Feeds her baby every 2 to 3 hours
f. Inserts her finger into the corner of her baby's mouth between the gums before removing him from the breast

Answer 1

The woman needs further instruction on successful breastfeeding techniques if she is washing her breasts and nipples with soap and water frequently and if she is using plastic-lined pads in her bra. Proper breastfeeding involves gentle breast hygiene, using breathable pads, correct positioning, feeding on demand, and safely removing the baby from the breast.

Step-by-step explanation:

Important Aspects of Breastfeeding Technique

When evaluating a woman's breastfeeding technique, there are certain key actions that would indicate whether she needs further instruction to ensure successful breastfeeding. For instance:

• Washing breasts and nipples with soap and water frequently may not be recommended as it can remove the natural oils that protect the nipple. Instead, the breast should be washed with plain water and dried gently.
• Massaging a small amount of breast milk into the nipple and areola before and after each feeding can be beneficial as breast milk has natural antibacterial properties and can help prevent soreness and cracks.
• Using a plastic-lined pad in the bra may trap moisture against the skin which can lead to irritation or infection. Breathable, non-plastic lined pads are preferable.
• Positioning the baby securely and bringing the breast to the baby helps the baby latch on properly. The baby should have a full mouthful of breast, not just the nipple.
• Feeding the baby every 2 to 3 hours is correct as frequent feeding helps stimulate milk production and ensures the baby is well-nourished.
• Inserting a finger into the corner of the baby's mouth to break the suction gently before removing the baby from the breast is the proper way to prevent nipple trauma.

Correct breastfeeding practices are crucial for the health of both the mother and the infant, and continued education and support can aid in successful breastfeeding.