Breast Feeding

Question 1

How long should breast feed?

Answer 1

6 months

Then supplement after with other food groups

Question 2

Contraindications in breast-feeding

Answer 2

Maternal brucellosis
Active TB in mother can feed expressed milk
Galactosemia in infant
HIV mom
Herpes positive on mothers nipples
Diagnosis and treatment of cancer in mother

Question 3

Colostrum

Answer 3

Thick yellow

Less calories& less fat more immunoglobulins antibodies vitamins and increased meconium passage

Question 4

Transitional milk

Answer 4

Happens several days after delivery

Question 5

Mature milk

Answer 5

Occurs week two has about 20 kg calories per ounce it is 90% water

Question 6

Ankyloglossia

Answer 6

Tongue tie

Makes>female

Question 7

BF positions

Answer 7

If it to the side not placed on back
Good latch= no click or popping sound
Top and bottom of lips are flanged over nipple
Straight line visualized from ear shoulder and hips

Question 8

How long can pumped milk stay in a refrigerator

Answer 8

Eight days

Question 9

How long is milk good for if you defrost it

Answer 9

24 hours

Question 10

How long is frozen milk good for

Answer 10

3 to 6 months if at the proper temperature

Question 11

Urinary Elimination on day one what is expected

Answer 11

One to three urinations

Question 12

Urinary elimination on day three was expected

Answer 12

4-6 wet diapers

Question 13

Urinary Elimination after the first week

Answer 13

6 -8 wet diapers per day

Question 14

Stool within the first 24 hours

Answer 14

One meconium stool expected

Question 15

Stool on the second and third day

Answer 15

Day 2- meconium #2

Day 3- loose, yellow, Seedy stool
Occurs 2-3 x per day

Question 16

Stool after first month of life

Answer 16

After the first month may go with every feed to only going several days in between

Question 17

If a baby has colic what can be done by Mom to help

Answer 17

Can decrease mom‘s intake of cows milk egg peanuts tree nuts soy fish and wheat

Question 18

How much alcohol can a mother drink before is expressed in breastmilk

Answer 18

> 0.5 g/kg mom body weight

equates to 2 cans of beer, 8 oz of wine, 2 oz liquor

Question 19

Caffeine and breastmilk

Answer 19

Caffeine can be expressed in breastmilk causes baby to be jittery mom can have less than 2 cups per day

Question 20

Engorgement Mangement

Answer 20

Hot shower
Hot compress 5 to 10 minutes before nursing
Massage
Manual expression B4 feeding 
Nursing frequently
Nipple Shields for flat nipples

Question 21

Sore nipples treatment

Answer 21

Breast shield
Rub breastmilk or colostrum on nipples
Frequent feeding
Nurse on the least sore side

Question 22

Nipple confusion

Answer 22

Avoid bottle nipples and pacifiers

For 4 to 6 weeks

Question 23

Mastitis

Answer 23

Infection of the breast normally buy staph aureus or

Question 24

Mastitis management

Answer 24

Massage breast
Empty breast
NSAIDS
Penicillin, cephalosporins X 10 to 14 days

Question 25

Formula calculation

Answer 25

Formula/BM = 20 KCAL/OZ
30 mL = 1 oz
ML=CC

Example: baby = 3 KG
360 cc
360 mL X 20kcal. = 360X 0.666=240 kcal
X. 30cc/mL. 3kg

=80 kcal/kg/day

Question 26

Breast milk jaundice

Answer 26

> day 7-10 of life
Has good urine store and weight gain
Jaundice/Bili @ 10-15 day increased

Question 27

mastitis causes

Answer 27

r/t cracked nipple , plugged ducts, poor bra fitting, sudden wean

Question 28

Mastitis symptoms

Answer 28

S/s: flu like symptoms, red lump in breast, Fatigue, pain