A Premature Newborn Is Unable to Suck at the Breast

A premature newborn is unable to suck at the breast. The nurse plans care for the mother, who is going to hand-express milk. Arrange the steps for milk expression in the correct order.

A) Roll the thumb and fingers simultaneously forward.
B) Position the thumb at 12:00 and the forefinger and middle finger at 6:00 around the areola.
C) Repeat the sequence multiple times to completely drain the breasts.
D) Stretch the areola back toward the chest wall without lifting the fingers off the breast.