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Question

Which of the following are signs of good attachment during breastfeeding? 

1. The baby's nose is at the level of the nipple. 

2. The baby's mouth is wide open. 

3. The baby's chin touches the breast. 

4. The baby's lower lip is everted. 

Select the correct answer using the code given below:

The correct answer is
2, 3 and 4

To determine the signs of good attachment during breastfeeding, let's analyze each statement:

Analyzing Breastfeeding Attachment Signs

  • Sign 1: The baby's nose is at the level of the nipple. This is generally not a sign of good attachment. In a deep latch, the baby's chin presses into the breast, usually leaving the nose slightly away from the nipple to allow for breathing.
  • Sign 2: The baby's mouth is wide open. This is a key sign. A wide-open mouth (like a yawn) allows the baby to take in a large portion of the areola, not just the nipple.
  • Sign 3: The baby's chin touches the breast. This is a sign of a deep latch. The chin being pressed into the breast indicates the baby is drawing the breast tissue deeply into their mouth.
  • Sign 4: The baby's lower lip is everted. This is a crucial sign. An everted or 'flanged' lower lip helps create a good seal, drawing breast tissue in and preventing nipple damage.

Identifying Correct Attachment Indicators

Based on the analysis, the signs indicating good breastfeeding attachment are:

  • The baby's mouth is wide open.
  • The baby's chin touches the breast.
  • The baby's lower lip is everted.

These three signs (2, 3, and 4) collectively indicate a proper and effective latch, crucial for successful breastfeeding.

Conclusion on Attachment Signs

Therefore, the correct combination representing signs of good attachment during breastfeeding includes statements 2, 3, and 4.

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Important Questions from Neonatal Care

  1. Which one of the following statements is correct regarding physiology of breastfeeding?
  2. If a baby does not begin breathing in response to tactile stimulation, then the baby is assumed to be in:
  3. Consider the following conditions :
    Response to tactile stimulationHeart RateBlood PressureTone
    AYesNormalNormalNormal
    BYesFallingNormalDecreasing
    CNoFallingFallingDecreasing
    DNoRisingNormalNormal
    Primary apnea in a neonate is characterized by which one of the above conditions?
  4. Consider the following statements about human breast milk : 

    1. 75% of breast milk content is water. 

    2. Breast milk is poor in taurine and cysteine. 

    3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids. 

    4. High lactose content of breast milk helps in absorption of calcium. 

    Which of the statements given above are correct?

  5. A full-term baby born with birth weight of 2000 g comes for well-baby visit at two months of age. Which of the following nutritional supplements would you advise?
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