A nurse is helping a mother overcome common breastfeeding problems.
The mother reports having sore nipples that are cracked and bleeding.
Which of the following interventions should the nurse recommend?
Applying lanolin cream or hydrogel pads to the nipples after each feeding
Washing the nipples with soap and water before and after each feeding
Switching to formula feeding until the nipples heal completely
Using a nipple shield or a breast pump for every feeding
The Correct Answer is A
Applying lanolin cream or hydrogel pads to the nipples after each feeding can help soothe and heal sore nipples that are cracked and bleeding. Lanolin cream is safe for the baby and does not need to be washed off before feeding. Hydrogel pads can also provide cooling relief and create a moist wound healing environment.
Choice B is wrong because washing the nipples with soap and water before and after each feeding can dry out and irritate the skin, making the problem worse. The nipples do not need to be washed more than once a day with plain water.
Choice C is wrong because switching to formula feeding until the nipples heal completely can interfere with the establishment of breastfeeding and reduce the milk supply. Formula feeding can also increase the risk of infections and allergies for the baby. Breastfeeding should be continued as much as possible, even with sore nipples, as long as the baby is latched on correctly.
Choice D is wrong because using a nipple shield or a breast pump for every feeding can also affect the milk supply and the baby’s ability to breastfeed effectively. Nipple shields and breast pumps should only be used temporarily and under the guidance of a lactation consultant. They do not address the underlying cause of sore nipples, which is usually a poor latch.
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Related Questions
Correct Answer is D
Explanation
“I should push my baby’s chin down if he doesn’t latch on properly.” This statement indicates a need for further teaching because pushing the baby’s chin down can cause pain and damage to the nipple and interfere with the baby’s ability to suckle effectively.The mother should wait for the baby to open his mouth wide before bringing him to her breast and then gently guide his lower jaw onto the breast.
Choice A is correct because holding the baby close to the body with his nose opposite the nipple helps him to latch on well and stimulates the rooting reflex.
Choice B is correct because supporting the breast with a C-shape below the areola prevents the fingers from compressing the milk ducts and allows the baby to grasp more of the breast tissue.
Choice C is correct because waiting for the baby to open his mouth wide ensures that he takes a large mouthful of breast tissue and forms a good seal around the nipple and areola.
Normal ranges for breastfeeding frequency and duration are 8-12 times in 24 hours and 15-20 minutes on each side.
Correct Answer is C
Explanation
Iron-fortified infant cereal.According to the World Health Organization (WHO), infants should start receiving complementary foods at 6 months of age in addition to breast milk.Iron-fortified infant cereal is a good source of iron, which is essential for the development of the infant’s brain and blood cells.
Choice A is wrong because cow’s milk or juice are not recommended as the first complementary foods for infants.Cow’s milk can cause iron deficiency anemia and allergic reactions, and juice can cause dental caries and diarrhea.
Choice B is wrong because pureed fruits or vegetables are not enough to meet the infant’s iron needs.Fruits and vegetables are rich in vitamins and minerals, but they do not provide enough iron for the growing infant.
Choice D is wrong because yogurt or cheese are not suitable as the first complementary foods for infants.Yogurt or cheese can cause allergic reactions and lactose intolerance, and they do not provide enough iron for the infant.
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