Step-by-step explanation:
The nurse should take action B, which is to assess the newborn’s latch while breastfeeding.
Sore nipples are a common concern among breastfeeding mothers, and they can be caused by various factors, including improper latch. Assessing the newborn’s latch is crucial in identifying the cause of the soreness and providing appropriate interventions.
When the baby is latching on properly, it ensures that they are correctly positioned and are effectively removing milk from the breast. Poor latch can lead to nipple soreness or damage. By assessing the latch, the nurse can determine if corrections or adjustments need to be made to ensure a proper latch.
Limiting the length of breastfeeding to 5 minutes per breast (Option A) is not a recommended solution to nipple soreness. This approach can interfere with the newborn’s ability to receive adequate milk and hinder the establishment of a good milk supply.
Offering supplemental formula between the newborn’s feedings (Option C) is not indicated unless there are specific concerns about the baby’s weight gain or nutritional needs. It is important to support exclusive breastfeeding in the early postpartum period to stimulate milk production and build a strong breastfeeding relationship.
Instructing the client to wait 4 hours between daytime feedings (Option D) is not appropriate. Newborns need frequent feeding, usually every 2-3 hours, to meet their nutritional needs and establish an adequate milk supply for the mother.
Therefore, the best action for the nurse to take in this scenario is to assess the newborn’s latch while breastfeeding (Option B). By addressing and correcting any latch issues, the nurse can help alleviate the client’s nipple soreness and support successful breastfeeding.