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348 OB Exam 3 > Chapter 25 > Flashcards

Chapter 25 Flashcards

1
Q

What is better Breast milk or formula?

A

Breast!

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2
Q

Notes
AAP recommends exclusive breastfeeding for the first 6 months of life and that breastfeeding contuines as complementary foods are introduced

Breastfeeding should contuine for 1 year

A
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3
Q

Formula is fine!
Remember the overall goal is to feed the baby!

No cows milk until baby is 1

Do not water down formula

Do not give baby water in between feedings

A
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4
Q

Lactation is the hallmark of what?

A

Female mammals

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5
Q

Lactations is under endocrine control
What two main hormones ?

A

Prolactin - produce milk
Oxytocin - contracts utrues and milk ducts to move milk and stop bleeding

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6
Q

When does lactogenesis start?

A

Begins during the late stages of pregnancy

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7
Q

The delivery of the placenta and the resulting dramatic reduction in progresteron, estrogen and human placental lactate levels stimulate?

A

Milk production

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8
Q

Colostrum is the first milk a breastfeed baby receives. What does it contain? (3)

A

High wbc
Antibodies
IGA

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9
Q

The IGA coats the infants immature intestines and helps prevent pathogens invading the baby’s system and ??

A

Helps with passing their first poop!

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10
Q

Milk production is a what?

A

Supply meets demand system

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11
Q

Why do we encourage mom to empty all the milk?

Usually feels soft and empty when doing so

A

Because if we don’t it leads to decrease milk supply

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12
Q

Notes
Oxytocin is essential to lactation
As the nipple is stimulated by the suckling infant, the posterior pituitary gland is prompted by the hypothalamus to produce oxytocin.

This hormone is responsible for the ?

A

Milk ejection reflex ( MER )
Let down reflex

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13
Q

What are some contraindications to breatfeeding?

A

HIV
tuberculosis
Herpes

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14
Q

What are 5 common breastfeeding positions?
Describe each?

A

Laid back
- mom on back and baby laying on mom stomach

Cradle hold
- your basic thought of breastfeeding

Cross cradle hold
- one arm hold boob up
- other arm hold baby to boob

Football hold
- twins usually

Side lying
- boob smacking baby basically

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15
Q

What does LATCH STAND FOR?

A

L - latch
( how likely baby is to latch )
A - audible swallow
( does baby immediately swallow or no )
t - type of nipple
( inverted or flat )
C - comfort
( is boob soft, firm ?)
H - hold
( how we are holding up the baby )

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16
Q

Newborns need to be breastfeed what?

A

8-12 times in a 24 hours period

17
Q

The average time for early feedings is?
And per breast?

A

30-40mins

15-20mins

18
Q

Why should the nurse need to watch at least 1 breastfeeding session every 8-12 hours while mom and baby are at the hospital?

A

In order to follow that LATCH
And education

19
Q

What is breastfeeding engorgement?

A

Increase in milk production and breast become firm tender and hot and can appear shiny and taut

20
Q

How do we prevent breast engorgement?

A

Early and frequent feedings 8-12 times in 24 hours

Or softenin it by pumping

21
Q

What are some common interventions for engorgement?

A

Ice packs
Gel packs
Cold compressions
Warm compression

Breast massage

22
Q

What is sore nipples?

Results from?

How do we treatment?

A

Literally soreness or painful
Crackled

Poor poisoning
Infection

Ointment

23
Q

Is insufficient milk supply the reason why many woman stop breastfeeding?

A

Yes sadly

Careful evaluation of the mother and infant is needed
Assessments
Stress and fatigue can be why

Education on emptying the breast too

24
Q

What is a plugged milk duct?

Caused by?

How do we treat?

A

Inadequate removal of milk from the breast

Tigjt clothing
Same position to breast feed

Warm compression

25
Q

What is mastitis?

Symptoms ?

How does it look like?

Treatment ?

A

Inflammation of the breast

Flu like symptoms

Inflamed, red, hot, tender to touch

Antibiotic like cephalexin or dickoxacillin for 10-14 days and analgesic and antipyretic medications such as ib can help

26
Q

Can we contuine to feed with Mastitis?

A

Yes

27
Q

Sore, cracked nipples can lead to mastitis by providing portal of entry for causative organisms like?

A

Staph
Strep
E. Coli

348 OB Exam 3 (6 decks)

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