A postpartum client who is 32 hours postpartum reports nipple soreness and engorgement. Which statement aligns with nursing guidance to address latch?

• A. Call me so I can check your baby's latch the next time you breastfeed.
• B. Switch to bottle feeding to avoid nipple soreness.
• C. Apply ice to the breasts before feeding.
• D. Limit feeding to every other hour.

Answer: (A)

The main idea is that resolving nipple soreness and engorgement centers on ensuring an effective latch. When the baby latches deeply, milk can flow efficiently and the nipple is protected, which reduces trauma and helps relieve engorgement. The best next step is to arrange for someone to observe the next feeding and assess the latch and positioning.

During the observation, look for a wide latch where the baby takes a large portion of the areola into the mouth, not just the nipple; the lips are flanged outward, the chin touches the breast, and the baby is aligned with the mother’s chest. The mother should feel comfortable and the latch should be painless or only mildly uncomfortable at first. If the latch is shallow, guide the mother to adjust positioning or use a different hold, support the breast, and break suction gently to re-latch. Encouraging frequent feeds helps relieve engorgement, and this is best accomplished by ensuring a good latch rather than restricting feedings or switching to bottles.