Ch25 study guide (newborn nutrition and feeding) Flashcards

1
Q

structures in the breast that contain alveoli surrounded by myoepithelial cells
- there are approximately 15-20 of these structures embedded in the fat and connective tissue I teach female breast

A

lobes

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2
Q

milk-producing cells

A

alveoli

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3
Q

breast structures that transport milk from the milk-producing cells to the nipple
- they form a complex intertwining network

A

milk ducts

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4
Q

cells that surround the alveoli

- these cells contract in response to oxytocin, resulting in the milk ejection/let-down reflex

A

myoepithelial cells

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5
Q

rounded, pigmented section of tissue surrounding the nipple

A

areola

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6
Q

the process of milk production

A

lactation (lactogenesis)

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7
Q

the lactogenic hormone secreted by the anterior pituitary gland in response to the infant’s suck and emptying of the breast

A

prolactin

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8
Q

posterior pituitary hormone that triggers the let-down reflex

A

oxytocin

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9
Q

reflex response of the nipple when the infant cries, suckles, or rubs against the breast
- this response aids in propelling milk through the milk ducts to the nipple pores

A

nipple erection reflex

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10
Q

nipple type that remains flat and soft and does not protrude, even when stimulated

A

inverted

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11
Q

plastic device that can be placed over the nipple and areola to keep clothing off the nipple and put pressure around its base to promote protrusion of the nipple

A

breast shell

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12
Q

clear yellowish, high protein, antibody rich fluid present in the breasts before the formation of milk

A

colostrum

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13
Q

breastfeeding problem that is best prevented by utilizing correct breastfeeding techniques

A

sore nipples

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14
Q

newborn behaviors that indicate hunger and a desire to eat, such as hand-to-mouth movements, rooting, and mouth and tongue movements

A

feeding cues

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15
Q

reflex triggers by the contraction of myoepithelial cells as a result of oxytocin stimulation
- colostrum, and later milk, is transported to the nipple

A

let-down or milk-ejection reflex (MER)

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16
Q

reflex stimulated when the area around a hungry baby’s mouth is touched
- the baby opens its mouth and begins to suck

A

rooting reflex

17
Q

placement of the infant’s mouth over the nipple, areola, and breast, making a seal between the mouth and the breast to create adequate suction for milk removal

A

latch (latch-on)

18
Q

breast response that occurs wrong the third to fifth day when the “milk comes in” and blood supply to the breasts increases
- the breasts become tender, swollen, hot and hard, and even shiny and red

A

engorgement

19
Q

breastfeeding position in which the mother holds the baby’s head and shoulders in her hand with the baby’s back and body tucked under her arm

A

football (clutch) hold

20
Q

breastfeeding position in which the baby’s head is positioned in the crook of the mother’s arm and the mother and baby are “tummy to tummy”

A

cradle (traditional) hold

21
Q

health care professional who specializes in breastfeeding and may be available to assist a new mother with breastfeeding while in the hospital or after discharge

A

lactation consultant

22
Q

infection of the breast manifested by a swollen, tender breast and sudden onset of flu-like symptoms

23
Q

breastfeeding problem that is most often the result of inadequate removal of milk from the breast

A

plugged milk ducts

24
Q

short or tight frenulum, which interferes with extrusion and affection sucking

A

ankyloglossia (tongue tie)

25
process whereby the infant is gradually introduced to drinking from a cup and eating solid food while breastfeeding and bottle-feeding is reduced by gradually decreasing the number of feedings
weaning
26
milk that is initially released with breastfeeding and is lower in fat
foremilk
27
milk that is let down 10-20 minutes into the feeding - often called the cream, it is denser in calories from fat necessary for optimal growth and contentment between feedings
hindmilk (cream)
28
the "mothering" hormones
prolactin and oxytocin
29
medications or substances that are believed to increase milk production
galactagogues