Talking with the patient

How to support breastfeeding

Other platforms explain it with text and video. In VMS you practice it on the patient.

MD / DOPANursing (NCLEX)

Breastfeeding support in the first days shapes how long a parent breastfeeds. Simple coaching on latch and cues prevents pain and poor feeding.

Step by step

  1. Start skin-to-skin early

    Place the baby on the parent's chest soon after birth. This helps the first feed and keeps the baby warm. [1]

  2. Teach feeding cues

    Early cues are rooting, hand to mouth and lip smacking. Crying is a late cue. [1]

  3. Help with position

    Baby's ear, shoulder and hip in a line, belly facing the parent. Bring the baby to the breast, not the breast to the baby. [1]

  4. Check the latch

    Mouth wide open, lips turned out, more areola visible above than below. The parent should feel tugging, not pinching pain. [1]

  5. Feed often

    Most newborns feed 8 to 12 times in 24 hours. Let the baby finish the first breast before offering the second. [1]

  6. Check intake

    Look at wet and dirty diapers and weight. Wet diapers should increase over the first days. [1]

  7. Address problems

    Sore nipples usually mean a shallow latch. Refer to a lactation consultant for ongoing pain or poor weight gain. [2]

Common errors

Practice it in VMS

In VMS you do this on the patient, not on paper: every step goes on the checklist with a score, and in Teach mode Blocky tells you what comes next.

VMS cases that train this skill

18 VMS cases train this skill: open the case library

Sources

  1. OpenStax, Clinical Nursing Skills (CC BY 4.0)
  2. AHRQ Health Literacy Universal Precautions Toolkit (Teach-Back)
  3. AAMC Core Entrustable Professional Activities (Core EPAs)

Facts and steps follow AAMC Core Entrustable Professional Activities (Core EPAs); AHRQ Health Literacy Universal Precautions Toolkit (Teach-Back). VMS is not affiliated with these organizations. Updated: 2026-10-11.