G1P1 breastfeeding mom with inverted nipples and an infant unable to latch should MOST appropriately be advised to:

• A. Consult a lactation nurse with the possibility of using a nipple shield
• B. Switch to bottle feeding immediately
• C. Wait and see if latch improves on its own
• D. Use a pacifier to encourage sucking

Answer: (A)

When latch is difficult because of inverted nipples, the priority is to get the infant attached and milk moving with professional guidance. A lactation nurse can assess how the baby is attaching and suggest practical aids or techniques, such as a nipple shield, to help the baby latch while protecting the nipple. Using a nipple shield can facilitate breastfeeding initiation and support milk transfer when used correctly and with support, rather than forcing a switch to bottles. Switching to bottle feeding immediately or waiting in hopes the latch improves on its own risks reduced milk removal, potential nipple preference, and complications with establishing breastfeeding. A pacifier won’t resolve latch problems and can interfere with establishing breastfeeding. Therefore, consulting a lactation nurse with the possibility of using a nipple shield is the most appropriate step.