Question 1

To support breastfeeding these strategies are helpful: have a written breastfeeding ____ within delivery care settings support initation of breastfeeding within ___________ of birth give no artificial teats or pacifiers to breastfeeding infants until _____

Accepted Answer

policy 1 hour breastfeeding is established, typically at 4 weeks of age

Question 2

What is the sequence of breastmilk production

Accepted Answer

colostrum transitional milk mature milk changes as baby grows and changes

Question 3

How does initiation of breastfeeding at birth help promote a healthy microbiome

Accepted Answer

allows for the growth of protective bacteria to support healthy microbiome Continuation of breastfeeding promotes fur- ther growth of these bacteria, immunoglobulin A (IgA) secretion and decreased inflammation in the intestinal epithelial cells and underlying tissues.

Question 4

What are 3 benefits for mothers breastfeeding

Accepted Answer

strong bonding decreased risk of breast/ovarian cancer decreased CV risks

Question 5

What are contraindications to breastfeeding 5

Accepted Answer

infant with galactosemia maternal cancer maternal HIV (unless actively getting antiretroviral treatment) herpes lesions on maternal breasts maternal drug use Galactosemia is a rare, hereditary disorder of carbohydrate metabolism that affects the body's ability to convert galactose to glucose. Signs of galactosemia in babies usually appear within the first week of life and include poor feeding, vomiting, jaundice, and an enlarged liver. Other symptoms include lethargy, diarrhea, weight loss, and weakness

Question 6

Colostrum- when does production of colostrum start

Accepted Answer

16 weeks gestation The pregnant woman may notice a small amount of yellow discharge on her nipple or clothing.

Question 7

What is colostrum rich in

Accepted Answer

immunoglobulins esp sIgA and antibodies low in calories and fat

Question 8

What does sIgA do for the infant

Accepted Answer

coats gut to protect against invasion of bacteria also decreases gut inflammation

Question 9

What function does colostrum help with for the infant

Accepted Answer

passage of meconium colostrum is higher in sodium, potassium, chloride, protein, fat-soluble vitamins, and cholesterol than mature milk and facilitates the passage of meconium.

Question 10

Is there any supplementation needed when a baby only has colostrum for the first few days of life

Accepted Answer

no- meets all nutritional needs of healthy term newborn

Question 11

When does transitional milk appear

Accepted Answer

between 32-96 hours after bith

Question 12

What triggers the development of transitional milk 2

Accepted Answer

drop in placental hormones and increased prolactin levels As a general rule, transitional milk has more lactose, calories, and fat and less total protein than colostrum.

Question 13

When does mature milk come in

Accepted Answer

two weeks after birth Ongoing milk production is supported by autocrine, endocrine, and metabolic controls.

Question 14

Why can breastmilk meet the hydration needs of infants

Accepted Answer

it is 90% water

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3.2 Nutrition - breastfeeding part one Flashcards

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