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AV_PEDS > Breastfeeding > Flashcards

Breastfeeding Flashcards

1
Q

Component of human milk that binds locally to inhibit bacterial growth

A

Lactoferrin

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2
Q

Component of human milk that provides immunity against many organisms

A

IgA

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3
Q

The most important criterion for assessing the milk transfer during a feeding at the breast

A

audible swallow

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4
Q

compared to formula, human milk contains high levels of?

A 
Lipase 
anti-infective properties
growth factors
digestive enzymes
hormones
more protein
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5
Q

hormone responsible for milk ejection

A

oxytocin

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6
Q

hormone responsible for milk synthesis

A

prolactin

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7
Q

management of inverted nipples

A

nothing, natural changes of preganncy and infants suckling will evert the nipples

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8
Q

What is most likely to contribute to the volume of milk a woman produces?

A

supplementation of the infant with formula

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9
Q

Signs of adequate breast milk intake in the early first 4-6 weeks

A

baby gains weight
at least 3-4 stools in 24 hours
sounds of swallowing
at least 6 diapers wet with urine in 24 hours

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10
Q

infant with family history of allergy should be exclusively for ___ months

A

6

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11
Q

Severe engorgement is most often due to

A

infrequent breastfeeding

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12
Q

The most common cause of poor weight gain among breastfed infants during the first four weeks after birth

A

infrequent or ineffective feedings.

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13
Q

Do you interrupt breastfeeding when there is infection?

A

NO

extrarest
moist the involved area
antibiotics for 10-14 days

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14
Q

Presentation of nipple candidiasis

A

Oral thrush in infant
burning pain in breast
pink and shiny appearance of the nipple and areola

NO FEVER OR MALAISE

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15
Q

Jaundice in a normal full term breastfeeding infant is improved by

A

breastfeeding frequently ( at least 8 or more times in 24 hour)

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16
Q

Absolute CI of breastfeeding

A

Galactosemia

HIV

17
Q

Relative CI

A 
PKU and maple syrup disease-
Alcohol
Smoking 
Drugs
Caffeine 
Active TB
Hep B
18
Q

Treatment of nipple candidiasis

A

Nystatin (Mycostatin).

However, because more than 40% of yeasts are resistant to nystatin, it is recommended that miconazole (Monistat-Derm) or clotrimazole (Lotrimin or Mycelex) creams be used to treat the mother

19
Q

Colostrum

A

Thick yellowish fluid present in breast during pregnancy and for ~2-4 days after birth

20
Q

Differences between colostrum vs. mature milk

A

Breast milk:

higher calorie
higher lactose
hig h fat
less protein

21
Q

Stages lactogenesis

A

○ Lactogenesis I: 12th week of pregnancy until shortly after delivery “ development of breast tissue and secretion of colostrum”
○ Lactogenesis II: 2-4th day postpartum “ milk coming in more quantity-breasts more full and swallowing pattern becomes distinct”
○ Transitional period : 7-10th day
Mature milk : by day 14th. A volume of 600-900mL every 24 hours

22
Q

Cow vs human milk

A

COW IS CASEIN, HUMAN MILK IS WHEY. Human milk helps better absorption of iron than cow or formula milk

23
Q

Foremilk vs. hindmilk

A

§ Foremilk : milk that has been acumulated from last feeding. Has low fat content.
The hindmilk: milk available near the end of a feeding. Has higher FAT content.

24
Q

Utility of Lactose in mature milk

A

LACTOSE= galactose + glucose

  • Galactose - galactolipids for infant brain)
  • Lactose essential source of glucose– hypoglycemia.
  • Oligosaccharides: promote establishment of normal intestinal flora- gut immune response- invasive enteric infections and inflammation
  • BIFIDUS FACTOR: olifosaccharides+ glycoproteins— stimulate growth and colonization of LACTOBACILLUS BIFIDUS
  • helps passage of meconium- excretion bilirubin
25
Q

What gives colostrum the yellow color?

A

Vit A- b carotene

26
Q

Function of Vit A and b carotenw

A

infection and early retinal development

27
Q

What are the components of protein of colostrum

A

Ig

28
Q

Iron is absorbed better with human milk than cow or formula

A

True

29
Q

Pre-term infants or term infants with perinatal blood loss may need additioanl Fe while still exclusively breastfeeding

A

True

30
Q

Zinc deficiency

A

Intractable diaper and perioral rash

brain development

31
Q

Utility of Vit A

A

AGAINST INFECTION AND RETINAL DEVELOPMENT

32
Q

Utility of Vit E

A

against red cell hemolysis

33
Q

Dose of Vit D

A

400 IU/DAY

AV_PEDS (10 decks)

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