Exam 4 - Parental Education

Question 1

How would you educate mothers on ways they can quantify the amount of feed if breastfeeding?

Answer 1

• How long does the baby nurse?
• Does the baby nurse on one or both sides?
• Do you hear the baby suck and swallow through the duration of the feed?
• Is the baby falling asleep for parts of the feeding?

Question 2

On average, how long do babies feed for?

Answer 2

15-30 minutes on each breast (if breastfeeding)

Finish between 1.5-3 oz within 20-30 minutes (if formula)

Question 3

Should parents be concerned if their baby is passing green stool?

Answer 3

Not really, just means they are getting more foremilk than hindmilk

• May indicate that baby is not on the breast long enough and not getting as much hindmilk as it should

Question 4

What two things if seen in the stool of newborns would be concerning?

Answer 4

• Blood - indicates type of protein allergy (milk or soy), fissure, hemorrhoid, significant reflux where there is esophageal irritation
• Mucus - indicates inflammation

Question 5

How often should objects that are normally put in an infants mouth (e.g. bottle, pacifier) be sterilized?

Answer 5

Once a day

Question 6

When should pregnant mothers recieve a tdap vaccine?

Answer 6

In their third trimester - provides passive immunity (protects baby for first two months of life)

Question 7

When do infants first get the flu vaccine?

Answer 7

6 months

Question 8

Can babies be submerged in water if they still have their umbilical cord stub?

Answer 8

No - sometimes won’t fall off until 3 weeks of age

• Sponge baths are fine until then

Question 9

True/false: studies have shown that moisturizing infants twice daily can prevent atopic dermatitis and eczema

Answer 9

True

Question 10

Should parents use barrier creams or talc powder when changing diapers?

Answer 10

Barrier creams (e.g. destin)

• Talk powders are very dangerous to infants respiratory tract and GU tract

Moving towards cornstarch based powders

Question 11

Benefits of circumcision

Answer 11

Reduced rates of UTIs, penile cancers, STIs

Question 12

Risks of circumcision

Answer 12

• Inadequate skin removal
• Bleeding
• Infection
• Urethral complications
• Glans injury
• Removal of excessive skin
• Anesthetic complications

Question 13

Patient education: safety precautions that should be taken

Answer 13

• Baby wearing - ensure baby is breathing normally
• Car seats - rear facing until 2 years old
• Cribs/safe sleep environment
• Fall prevention
• Infant CPR
• Nose suctioning
• Pets
• Taking an infants temperature
• Heating formula and breastmilk - never in microwave
• Vaporizer - newborn nasal passages are small
• Siblings