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NUR 435 Exam 2 > Breastfeeding > Flashcards

Breastfeeding Flashcards

1
Q

Disparities in Breastfeeding

A

Blacks are 50% lower than white

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2
Q

WHO/UNICEF Steps to Successful Breastfeeding

A
  1. Written breastfeeding policy communicated to all health care providers
  2. Train all health care staff in skills to implement policy
  3. Inform all women about benefits of the boobie
  4. Help initiate breastfeeding within 1 hr
  5. Show how to breastfeed and maintain lacation
  6. No other food or drink than breastmilk
  7. Rooming in
  8. Breastfeeding on demand
  9. No artificial nips or pacifiers
  10. Breastfeeding support groups for post discharge
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3
Q

Nutrition for Newborn

A

Can go 1st day without eating
Hypoglycemia < 30
No baby is on schedule!

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4
Q

Culture against Breastfeeding

A

Modesty, embarrassment, rude comments, staring, work rules and regulation (lack of)

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5
Q

Baby’s Benefits of Breastfeeding!

A

Reduces: ear infections, gastroenteritis, lower respiratory infection, atopic dermatitis, asthma, obesity, type 1 and 2 diabetes, childhood leukemia, lymphoma, SIDS, NEC (short gut syndrome)

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6
Q

Mothers Benefits from Breastfeeding

A

Reduces risk of breast, uterine, and ovarian cancer and postpartum depression

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7
Q

Breastfeeding Benefits to Society

A 
Reduced health care costs
Reduced cost to WIC programs
Healthier population
Reduce formula cans- environment friendly! 
Less work absences from child illness
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8
Q

USA Breastfeeding

A

12% of infants are breastfed exclusively for 6 months

If 90%- 13 billion dollars would be saved

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9
Q

Day 1 Feedings

A

Term babies within first hour of life- awake for about 2 hours- looking for the boobie!
Sleepy stage, 4-8 hours or longer
Wake up to feed!
Unwrap (if over 98.0) to wake up and promote skin to skin

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10
Q

Breastfeeding Positions

A 
Cradle Hold
Football Hold
Sidelying- all against mom skin
Laid Back- belly down
Stoke cheek with nipple- baby will root and open wide!
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11
Q

Breastfeeding Length

A

Leave on breast for 10-30 minutes
Can try and burp and switch breasts
Next feeding should be on opposite breasts

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12
Q

Types of Milk

A

Colostrum- thirst quenching
Hind milk- thicker, when baby stays on breast for at least 10 minutes
Skim like milk when sucking for only 5 minutes

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13
Q

Breastfeeding Frequency

A

Frequent feedings help establish a milk supply
Begin pumping ASAP if baby cannot or is not willing
Pump 4 hours after delivery if not breastfeeding

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14
Q

Milk Expiration

A 
After baby drinks it- good for 1 hour
Fresh milk is good for 4-8 hours at room temp
Stored in refrigerator for 3-5 days 
Frozen for 3-5 months
Deep freeze 6-12 months
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15
Q

Breast milk Care

A

Gently swirl
DO NOT SHAKE OR MICROWAVE
Denatures the milk

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16
Q

Breastmilk Properties

A

Foremilk- high water content, not a lot of fat but thirst quenching
Hind milk- high fat content, supports growth

17
Q

Breastfeeding Hormones

A

Prolactin is the major milk stimulating hormone
Highest levels at end of pregnancy
Progesterone keeps Prolactin multiplying
Prolactin receptors multiply in breasts after delivery

18
Q

Prolactin

A

Frequent sucking is responsible for development of more Prolactin receptors
Over a few weeks- milk production goes from endocrine to autocrine (receptors in the breast)
Locally controlled after birth

19
Q

Refilling of the Breast

A

As it fills up, concentrations of why protein rise and trigger a cutback in production
As it decreases, the lower the concentration of FIL and allows breast to make more milk
FIL- Feedback Inhibitor of Lactation

20
Q

Breast milk Handling

A

Swirl, microwave

GLOVES! is a bodily fluid

21
Q

Milk Ejection Reflex

A

Let down
Prolactin and Oxytocin is also released
Causes muscle like cells in the alveoli of the breast to contract and milk go into ducts
Milk will freely flow with the reflex occurs
Causes: other babies crying, eating or drinking fluids
Can occur more than once in a feeding

NUR 435 Exam 2 (4 decks)

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