Audit tool for Step 2 Flashcards
Why is it important for all pregnant women to receive information about the BENEFITS of breastfeeding?
To allow for informed choice
Why is it important that all pregnant women receive education about how to MANAGE breastfeeding?
To PREPARE them for breastfeeding
Why is skin-to-skin important?
3 answers required
6 answers
- Regulates temperature of mother and/or newborn
- Facilitates initiation of breastfeeding
- Encourages bonding mother/baby
- Calms mother and baby
- Regulates heart and respiration rates
- Prevents hypoglycemia
When should skin-to-skin be initiated after vaginal birth?
Cesarean birth?
(2 answers required)
- Immediately (within 5 minutes) after vaginal birth, unless there are medical problems
- As soon as the mother is responsive and alert following a cesarean birth, unless there are medical problems
How long should skin-to-skin last in the immediate post partum period?
- At least until completion of the first breastfeeding and at least one hour for a baby who is fed formula (MUST GIVE THIS ANSWER)
- As the mother wishes and is safe and feasible
Why is correct positioning and attachment important for breastfeeding?
(3 answers required)
- Supports efficient milk transfer
- Supports sufficient milk supply
- Reduces risk of nipple soreness
Why is it recommended that all breastfeeding mothers are taught to express their milk by hand?
6 answers
(3 answers required)
- Help baby to attach
- Relieve engorgement
- Treat a blocked duct
- Maybe more effective method of expressing colostrum
- May be more effective than pumping
- Method is available to all mothers under the majority of
circumstances
Why is it important that mothers with babies in the NICU be advised to express their milk as soon as possible after birth?
2 answers required
- Provide colostrum for the baby
- Stimulate milk supply
How often should mothers with babies in the NICU be advised to express their milk?
At least 8 times in 24 hours (every 3 hours)
What is importance of avoiding supplementation to breastfed babies with formula when not clinically indicated?
2 answers required
3 answers
- Decreased breastfeeding leads to reduced supply
- Mother loses confidence in breastfeeding
- Allergic sensitization of baby
Why is rooming-in important for breastfeeding?
3 answers required
6 answers
- Mothers learn feeding cues
- Mother learns how to handle and comfort baby
- Supports feeding on demand
- Baby learns to recognize its mother
- Baby sleeps better.
- Decreases the risk of infection
Why is cue-based feeding important for successful breastfeeding?
2 answers required
3 answers
- Supports appropriate milk supply
- Reduces risk of engorgement
- Helps the baby feel satisfied
Please describe what important information mothers who are feeding formula need to know in order to safely prepare formula and feed their babies.
4 answers required
8 answers
- Safe storage
- Safe handling
- Appropriate reconstitution
- Appropriate hygiene
- Accuracy of measurement of ingredients
- Cleaning of utensils and equipment
- Appropriate feeding methods
- Powdered infant formula is not sterile
Why is it important to not distribute free samples, education, coupons, and other items from manufactures of breast milk substitutes, bottles, nipples, pacifiers or other infant feeding supplies to mothers?
4 answers
- Protects mothers from the influence of vendors of breastmilk substitutes, bottles, nipples or other infant feeding supplies
- Prevents inappropriate marketing of infant feeding products
- A breastfeeding mother utilizing these items could have more difficulty
- Prohibited by the WHO code
Do you teach mothers how to position and attach their infants for breastfeeding?
IF yes…
Positioning….. Check to see if mother is comfortable Check to see if baby is held close, facing the breast Check to see if baby’s head and body are in a straight line Check to see if baby is supported at shoulder
If no…
Who do you refer them to?
Nursing staff
Lactation Consultant
