A Lady Health Worker identifies a newborn whose mother has difficulty initiating breastfeeding. What is the most appropriate initial action?
Correct answer: B. Observe a feed and help the mother improve positioning and attachment
- A. Advise the mother to give glucose water after each feed
- B. Observe a feed and help the mother improve positioning and attachment
- C. Recommend stopping breastfeeding until the breasts feel full
- D. Refer the mother immediately for surgical treatment
Explanation
Observing a feed allows the worker to correct positioning and attachment, which commonly cause early breastfeeding difficulty. Glucose water is unnecessary for a healthy newborn and may interfere with breastfeeding.
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Primary health care covers equitable access, community participation, health promotion, appropriate technology, intersectoral coordination and referral systems. National programmes in Pakistan include immunization, polio eradication, tuberculosis control, malaria prevention, family planning, maternal and child health, nutrition and the Lady Health Worker Programme.
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