Answer to Question 1
ANS: A
The nurse should first assess the woman's knowledge and skill in breastfeeding to determine her teaching needs. Assessment should occur before instruction. Discussing the hormonal changes and helping her obtain a comfortable position may be part of the instructional plan, but assessment should occur first to determine what instruction is needed.
Answer to Question 2
ANS: A
Positioning the infant at nipple level will prevent downward pulling of the nipple and subsequent nipple trauma. Keeping the infant's head slightly lower will pull the nipple down and cause trauma. The forefinger and middle finger can be used to support the breast, but this is not an important consideration in positioning the newborn. The infant should take in as much areola as possible to prevent trauma to the nipples.
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