Swift River Simulations 2.0 Maternal Newborn Practice Test

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Which action promotes initial bonding and breastfeeding initiation?

Initiate formula feeding.

Place the newborn skin to skin on Maria's chest.

Early skin-to-skin contact between the newborn and mother is the action that best supports bonding and getting breastfeeding started. When the baby is held chest-to-chest on the mother’s bare skin, it helps stabilize temperature, heart rate, and breathing, and it lowers stress for both. The baby also recognizes the mother’s smell and voice, which strengthens emotional bonding and responsiveness.

This contact also nudges the baby’s natural feeding instincts—rooting and sucking reflexes—so latching becomes easier and breastfeeding can begin sooner. At the same time, the mother’s body releases oxytocin, promoting milk let-down and reinforcing the bonding experience.

Other choices interfere with these goals. Introducing formula early can reduce the baby’s drive to breastfeed and delay initiation. Bathing the newborn immediately can separate mother and baby and disrupt the opportunity for early bonding and breastfeeding cues. Separating them removes the crucial contact that fuels bonding and the earliest feeding attempts.

Bathe the newborn immediately.

Separate the baby from mother.

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