In the NICU, what is a typical initial step the nurse takes when introducing feeding to the family?

• A. Demonstrates feeding technique to mother.
• B. Discourages breastfeeding due to cleft lip/palate.
• C. Suggests only bottle feeding.
• D. Limits feeding education to discharge.

Answer: (A)

Hands-on demonstration of feeding technique to the family is the first step because it provides real-time guidance on how to position the infant, achieve a proper latch, and use any adapted feeding tools that may help with cleft lip/palate. This hands-on coaching builds parents’ confidence, reduces frustration, and allows the nurse to observe the infant’s feeding cues, weight intake, and any issues like nasal regurgitation or air swallowing so adjustments can be made immediately. It also opens the door for questions and collaboration with lactation consultants or feeding specialists, which supports feeding success and family bonding in the NICU.

Discouraging breastfeeding isn’t appropriate because many infants with cleft lip/palate can breastfeed or combine breast and bottle feeding with the right techniques and support. Limiting education to bottle feeding ignores the family’s options and the infant’s needs. Providing feeding education only at discharge misses critical early learning opportunities that set the stage for safe, effective feeding and parental confidence from the start.