A nurse is caring for a client who is 32 hours postpartum and reports nipple soreness and breast engorgement. Which recommendation should the nurse provide?

• A. Call me so I can check your baby's latch the next time you breastfeed.
• B. Apply a cold compress after feeding.
• C. Stop breastfeeding until engorgement subsides.
• D. Switch to formula to reduce nipple soreness.

Answer: (A)

Ensuring the baby is latched correctly so milk is removed efficiently is essential in the early postpartum period. When latch and positioning are right, the baby can suck effectively, milk is removed, and engorgement and nipple soreness are minimized.

Calling to check the baby's latch at the next feeding directly targets the problem: it allows real-time coaching on how to position the baby, achieve a wide mouth, have the nipple reach the back of the throat, and keep the chin and nose properly aligned. A good latch reduces nipple trauma and ensures adequate milk removal, which helps relieve engorgement and pain and supports successful continued breastfeeding.

Cold compress after feeding can provide symptomatic relief, but it doesn’t fix an improper latch. Stopping breastfeeding or switching to formula doesn’t address the underlying issue and isn’t the best approach for engorgement when breastfeeding is otherwise appropriate.