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Lactation- Baby Friendly > Audit Tool step 2 baby friendly > Flashcards

Audit Tool step 2 baby friendly Flashcards

1
Q

Why is it important for all pregnant women to recieve info about the benefits of breastfeeding

A

To allow fully informed choice

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2
Q

Why is it important that all pregnant women receive education about how to manage breast-feeding?

A

To prepare them for breast-feeding

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3
Q

Why is skin to skin important

A
  1. Regulates temperature of mother/infant
  2. Facilitates initiation if breastfeeding
  3. Promotes bonding between mother and infant
  4. Calms mother and baby
  5. Regulates heartbeat & breathing
  6. Regulates infant blood glucose levels, reducing risk for hypoglycemia
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4
Q

When should skin to skin be initiated after vaginal delivery and after Sis Cesarean delivery

A

Immediately (within five minutes) after vaginal birth, unless there are medical problems

Cesarean birth- As soon as the mother is responsive and alert, unless there are medical problems

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5
Q

How long should skin to skin last in the immediate postpartum period

A

***At least until completion of first breastfeeding & at least one hour for a baby who is fed formula

-As long as the mother wishes and is safe and feasible

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6
Q

Why is correct positioning and attachment important for breast-feeding

A
  1. Supports efficient milk transfer
  2. Supports sufficient milk supply
  3. Reduces risk of Nipple soreness

all 3 answers are required!!!

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7
Q

Why is recommended that all breastfeeding mothers are taught to express their milk by hand?

A
  • 3 answers required
  • Help baby to attach
  • relieve engorgement
  • treat a blocked duct
  • more effective method of expressing colostrum
  • may be more effective than pumping
  • method is available to all mothers under the majority of circumstances
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8
Q

Why is it important that mothers with babies in the NICU be advised to express their milk as soon as possible after delivery?

How often should they be advised to express their milk??

A

(Both answers required)

  1. Provide colostrum for the baby
  2. Stimulate milk supply

-At least 8 times in 24hrs

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9
Q

What is the importance of avoiding supplementation of breast-fed babies with formula when not clinically indicated

A

(2 answers required)

  1. Decreased breastfeeding leads to reduced milk supply
  2. mother loses confidence in breast-feeding
  3. allergic sensitization of baby
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10
Q

Why Is rooming in important for breast feeding

A

(3 answers required)

  1. Mother learns feeding cues
  2. Mother learns how to handle and comfort her baby
  3. Supports feeding on demand
  4. Baby learns to recognize his or her mother
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11
Q

Why is cue-based feeding important for successful breast-feeding

A

(2 answers required)

  1. Supports appropriate milk supply
  2. Reduces risk of engorgement
  3. Helps the baby feel satisfied
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12
Q

Why should artificial nipples and pacifiers be avoided during the Establishment of breast feeding

A

(2 answers required)

  1. May make it more difficult for the baby to attach to the breast
  2. Interferes with cue-based feeding leading to decreased milk supply
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13
Q

Please describe what important information mothers who are feeding formula need to know in order to safely prepare formula and feed their babies

A

(4 answers required)

Safe storage 
safe handling 
appropriate reconstitution 
appropriate hygiene 
accuracy of measurement of ingredients 
cleaning of utensils and equipment
appropriate feeling methods
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14
Q

Why is it important to not distribute free samples, education, coupons, and other items from manufacturers of breast milk substitutes, bottles, nipples, pacifiers or other infant feeding supplies to mothers

A

(2 answers required)

  1. Protects mothers from the influence of vendors of breast milk substitutes, bottles, nipples, or other infant feeding supplies
  2. Prevents inappropriate marketing of Infant feeding products
  3. A breast-feeding mother Utilizing these items could have more difficulty
  4. Prohibited by the WHO code
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15
Q

Do you teach mothers how to position and attach their infant for breastfeeding

A

Demonstrate how to assist a mother to position and attach her infant for breastfeeding

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16
Q

Do you teach mothers how to hand express breastmilk

A

Describe how you would teach a mother to hand express

17
Q

Describe how you would teach a mother to hand express

*Must include both steps marked with an asterisk and another answer

A
  • Stimulate the breast with massage and nipple stimulation
  • Gently grasp the breast With the thumb and forefinger at the approximate location of where the babies lips would be located for a correct latch, and press the breast back toward the chest wall
  • Use the forefinger and thumb to gently compress toward the nipple in a steady rhythm, without sliding the fingers along the skin
  • Milk may take a few minutes to Flow
  • Rotate fingers around the breast to express all quadrants of both breasts
18
Q

Describe the breast-feeding training that you have completed

A
  1. 20 hours of education breast-feeding and parent teaching for formula with a minimum of five hours of supervised clinical competency (hands on) experience
  2. Policy orientation and location
19
Q

As a healthcare professional how can your field of practice impact lactation

A
  1. Discussed with patients that skin to skin promotes immediate breast-feeding
  2. Discuss recommend and encourage breast-feeding
  3. Place no restrictions on feedings and encourage breast-feeding on demand
  4. Discuss the benefits of room in
20
Q

Name two benefits of exclusive breast-feeding for mothers

A
  1. Uterine involution
  2. Mother/baby bonding
  3. Reduce chances of female cancers
21
Q

Name two benefits of exclusive breast-feeding for babies

A
  1. Nutritionist Tailored to the baby
  2. Reduced illness for a baby
  3. Stabilizes blood sugar
  4. Best neural development of infant (brain growth and nutrition)
22
Q

If a mother is considering giving her infant something other than human milk what what do you do?

A
  1. Discuss the importance of exclusive breast-feeding address for reasons and help her decide what was suitable for her situation
  2. educate regarding possible negative consequences of using artificial breast milk substitutes
  3. if she decides not to breast-feed discuss how to feed expressed breast milk or formula safely depending on her situation
23
Q

Describe the physiology of the establishment of lactation

A
  1. With expulsion of the placenta estrogen and progesterone levels fall and signal milk production
  2. Lactogenesis stage 1- colostrum is available to newborn
  3. Lactogenesis stage two infants sucking builds milk supply
  4. Ejection reflexSucking stimulates prolactin and oxytocin
  5. Frequency of feeding regulates milk supply
24
Q

Name two resources you would use to find out about safe medications for use during lactation

A
  1. Pharmacy
  2. Mothers milk and medications updated version of
  3. I BC LC
  4. Lactmed

Lactation- Baby Friendly (1 decks)

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