In responding to the spouse's reaction to the baby's feeding, which nurse response is most appropriate?

• A. Acknowledge concerns and explain that all infants will leak a little bit of their feedings.
• B. Acknowledge concerns and educate the parents that the open cleft cannot muffle the sounds of suckling and swallowing.
• C. Tell the spouse not to worry.
• D. Suggest formula supplementation.

Answer: (B)

When a family faces feeding with a newborn who has an open cleft, the most supportive approach is to acknowledge their concern and provide clear, accurate information about what to expect. An open cleft means there is a connection between the mouth and nasal cavity, so sounds of suckling and swallowing can be audible. Explaining this helps normalize what they’re hearing and reassures them that the noises aren’t a problem in themselves. This response validates their feelings, reduces anxiety, and sets the stage for practical feeding guidance, such as appropriate positioning and techniques to support feeding.