Which of the following is NOT a step to ensure proper use of a nipple shield?

The correct answer highlights the misconception surrounding the use of nipple shields as a long-term solution. Nipple shields are designed to assist with specific breastfeeding challenges, such as latch issues or sore nipples, and they can be beneficial in facilitating breastfeeding when used appropriately. However, promoting their use as a permanent or ongoing solution can be counterproductive to the ultimate goal of establishing effective breastfeeding without such devices.

In practice, reliance on a nipple shield for an extended period might prevent the infant from learning proper latching techniques and may interfere with the breastfeeding relationship. Therefore, it is recommended that nipple shields be used temporarily and under the guidance of healthcare professionals, such as lactation consultants, who can offer strategies to resolve the underlying issues that necessitated their use.

The other choices reflect important practices related to the judicious use of nipple shields. Observing for milk transfer ensures the baby is effectively feeding and receiving adequate nutrition. Following up with a lactation consultant is essential for assessing breastfeeding progress and addressing any ongoing concerns related to breastfeeding. Utilizing a hospital-grade breast pump can support mothers who may need to stimulate milk production or alleviate engorgement while addressing latch issues.