The breastfeeding patient should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?

Correct Answer: A

Rationale: Rationale for correct answer (A): 1. Breaking the suction by inserting a finger into the corner of the infant's mouth is the most appropriate method to remove the breast safely. 2. This technique prevents trauma to the nipple and helps the baby release the latch gently. 3. It allows for a smooth and painless disengagement of the baby from the breast. 4. By breaking the suction first, the risk of causing discomfort or injury to both the mother and the baby is minimized. Summary of why other choices are incorrect: B. A popping sound is not a reliable indicator of correct breast removal and may lead to abrupt disengagement, causing pain and potential injury. C. Removing the breast slowly while the baby is asleep can disrupt the baby's sleep and may not be gentle or safe. D. Eliciting the Moro reflex is unnecessary and may startle the baby, leading to an abrupt disengagement that can cause discomfort and potential injury.

Correct Answer: C

Rationale: The correct answer is C: Place the infant to the breast. This recommendation is correct because direct breastfeeding stimulation is the most effective way to initiate the milk-ejection reflex. The infant's sucking triggers the release of oxytocin, which causes the muscles around the milk ducts to contract and push milk out. Wearing a well-fitting firm bra (choice A) may provide support but does not directly stimulate the milk-ejection reflex. Drinking plenty of fluids (choice B) is important for overall milk production but does not specifically help initiate the reflex. Applying cool packs to the breast (choice D) may actually hinder milk flow by constricting blood vessels.

Correct Answer: A

Rationale: The correct answer is A: Unwrap and gently arouse the infant. This action is important to prevent the infant from falling asleep immediately after feeding, as it may lead to inadequate intake and poor weight gain. By gently arousing the infant, the mother can encourage the baby to feed for a longer duration, ensuring proper nourishment. Choices B, C, and D are incorrect because waiting an hour before attempting to feed again may result in long gaps between feeds, offering a bottle at the next feeding may not address the immediate issue of inadequate feeding, and putting the infant in the crib and trying again later does not actively address the problem of the infant falling asleep too quickly after feeding.

Correct Answer: D

Rationale: Step 1: The correct answer is D because it accurately explains the concept of milk supply and demand. Step 2: As the baby demands more milk at each feeding, the mother's body will naturally increase milk production to meet the demand. Step 3: This is the biological principle of supply and demand in breastfeeding. Step 4: Option A is incorrect because early addition of baby food is not related to milk production. Step 5: Option B is incorrect because breast milk composition remains relatively constant; it doesn't become richer as the baby grows. Step 6: Option C is incorrect because cow's milk is not recommended as a supplement for infants due to its composition being unsuitable for their digestive systems.

Correct Answer: D

Rationale: The correct answer is D because breast milk can be kept refrigerated for up to 72 hours. This is important to ensure the milk stays fresh and safe for the baby. Thawing and refreezing breast milk (Choice A) can lead to nutrient loss and contamination. Freezing breast milk for up to 6 months (Choice B) is not recommended as it can affect the quality of the milk. Storing breast milk only in glass bottles (Choice C) is not necessary as breast milk can be stored in BPA-free plastic bottles or storage bags specifically designed for breast milk.