Breast Feeding

Question 1

features of a baby when a mother has lactating thrush?

Answer 1

nappy rash
oral thrush
unhappy baby

Question 2

features of a mother with lactating thrush?

Answer 2

pain
itchy/flaky/red nipple
cracked nipple

Question 3

tx for lactating thrush?

Answer 3

mum - ointment

baby - oral gel

Question 4

causes of breast engorgement?

Answer 4

delay in feed
poor attachment
ineffective emptying
restrictive feeding

Question 5

features of breast engorgement?

Answer 5

shiny boobs
pain
poor milk flow
redness
fever

Question 6

Tx for breast engorgement?

Answer 6

express
warm bath and compress
technique improvement
paracetamol and NSAIDs

Question 7

features of cracked nipples?

Answer 7

baby can vomit blood
wedge shaped
redness
engorged breast
worse at start of feed
pain

Question 8

Tx of cracked nipples?

Answer 8

keep feeding
leave breast milk to dry on nipple
lansinoh

Question 9

what is the most common causative organism in lactational mastitis?

Answer 9

staph aureus

Question 10

what can cause mastitis?

Answer 10

plugged milk duct

Question 11

features of mastitis?

Answer 11

tender
red
sore lump ± fever
N + V
cracked nipple
pus and blood

Question 12

Tx for lactational mastitis?

Answer 12

keep feeding
warm compress
NSAIDs
antibios if not improving - fluclox/amox

Question 13

what complication can occur in mastitis? how is it treated?

Answer 13

breast abscess

US guided aspiration

Question 14

how long should all infants be breast fed for?

Answer 14

exclusively for 6 months

Question 15

when should solid foods be introduced?

Answer 15

6 months

Question 16

how much vitamin D should pregnant and breastfeeding women be taking?

Answer 16

10 μg/day

Question 17

how much vitamin D should breast fed infants from 6 months be taking?

Answer 17

7 μg/day

Question 18

what is the name of the reflex of milk production?

Answer 18

let down reflex

Question 19

how long can expressed breast milk be kept for in the freezer?

Answer 19

Up to six months in a domestic freezer, at minus 18ºC or lower

Question 20

how long can expressed breast milk be kept for in the fridge?

Answer 20

5 days

Question 21

two indications of good attachment?

Answer 21

baby has a large mouthful of breast

babies chin should be indenting the breast

Question 22

what in the UK can formula feeds be based on?

Answer 22

cows milk
goats milk
soya milk

Question 23

forms of sterilising formula feeding?

Answer 23

steam
boiled water
chemical
microwave

Question 24

in pregnancy, what hormones help
ducts
lobules
grow?

Answer 24

ducts - oestrogen

lobules - progesterone