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ADELE-Repro Ramblings > Feeding > Flashcards

Feeding Flashcards

1
Q

In terms of lactation what does oestrogen promote the growth of?

A

The ductile system

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2
Q

In terms of lactation what does progesterone promote the growth of?

A

Development of lobule-alveolar system

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3
Q

What is producing and releasing milk initiated by?

A

Placental expulsion and the sudden decrease in oestrogen/progesterone at birth (hormonal response with continuous positive feedback)

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4
Q

How does oestrogen/progesterone circulating in the blood inhibit milk secretion?

A

By blocking the release of prolactin from pituitary

Making the mammary gland unresponsive to this pituitary hormone

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5
Q

The ejaculatory process is initiated by which hormone?

A

Oxytocin

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6
Q

What does colostrum look like?

A

Low volume (few mm at each feed)
no fat
rich in immunoglobulin

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7
Q

TRUE/FALSE

Colostrum has a laxative effect which helps the baby pass meconium and prevent jaundice

A

TRUE

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8
Q

TRUE/FALSE

Mature milk has the same overall daily intake of immune proteins as in colostrum

A

TRUE

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9
Q

What does mature breastmilk look like?

A

Slightly blush, translucent with a thin cream layer on standing as it contains a little caesin

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10
Q

Why do newborn babies need very little milk during the first 48-72h post birth?

A

Their immature kidneys are adjusting from secreting large amounts of fluid as blood volume reduces by 25%

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11
Q

Milk volume in the breast increase after 20-48h. After which day do breasts feel full and tight?

A

day 3

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12
Q

TRUE/FALSE

Placental products retained in utero will not effect the process of milk coming in

A

False- they will delay the process

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13
Q

TRUE/FALSE

The highest fat content of the feed is right at the very beginning

A

FALSE

As the breast drains, fat is expressed into the ducts and the calorie content increases

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14
Q

What does the sucking stimulus release?

A

Oxytocin

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15
Q

What reflex is the release of milk often referred to as?

A

The let-down reflex

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16
Q

In the are of the breast not being drained ———– and signal to breast tissue to stop milk production

A

Lactation inhibitory factors

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17
Q

How long is exclusive breast-feeding recommended for?

A

First 6 months

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18
Q

At what age are solid foods introduced?

A

6 months

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19
Q

TRUE/FALSE
IF a breast-fed infant loses up to 10% of their birth weight in the first few days this shows that there is an inadequate feeding technique

A

FALSE

this is completely normal

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20
Q

ALL babies should be given vitamin D supplements regardless of feeding method and their mothers intake TRUE/FALSE

A

8.5-10 micrograms for breastfed babies

NONE for infant-fed babies

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21
Q

Healthy start vitamin drops can be given from which age?

A

6 months

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22
Q

How can risk of HIV transmission be reduced?

A

ART for mother and infant
Birth by c-section
avoidance of breastfeeding

23
Q

Benefits of breastfeeding?

A

Mum
-lowers risk of breast and ovarian cancers
-lose wt faster (500kcals a day)
bonding

Baby

  • IgA immunity
  • Long-term outcomes (obesity, diabetes)
24
Q

How long can breast milk be stored?

A

<5 days in fridge

<2wks in freezer compartment of fridge

<6months in freezer

25
Q

What are 4 potential problems for the mother if attachment is poor?

A

Painful nipples
engorgement
low milk supply
mastitis

26
Q

TRUE/FALSE

If attachment is effective then the chin should be indenting the breast and the baby needs a wide gaping mouth

A

TRUE

27
Q

If areola is visible when feeding there should be more above the top lip than the bottom lip TRUE/FALSE

A

TRUE

28
Q

What is engorgement?

A

Painful swelling of the breasts

29
Q

What is mastitis?

A

Red inflamed breasts

30
Q

If pain relief is needed for sore breasts then Paracetamol/aspirin/ibuprofen can be used TRUE/FALSE

A

FALSE

Aspirin implicated in Reyes syndrome

31
Q

If symptoms of painful breasts continue after 12h despite expressing milk and appropriate pain relief then treat with suitable antibiotics prescribed. What would this be?

A

Fluclox ( of clindamycin if pen allergic)

32
Q

If a breast abscess develops they are a goner, don’t bother treating them TRUE/FALSE

A

TRUE

alternatively you could aspirate and surgically drain

33
Q

TRUE/FALSE

Overall breast size determines the amount fo milk produced

A

FALSE

34
Q

What are positive signs that the baby is getting sufficient milk?

A

Wt

6+ wet and 3+ dirty nappies in 24h

35
Q

Use topical medication to treat painful nipples in the absence of nipple infection TRUE/FALSE

A

FALSE ya crazy kid

36
Q

Infant formaula is suitable for infants up to 12m. However there is a big advantage of changing to follow on formula from 6 months TRUE/FALSE

A

FALSE

it is suitable up to12m but here is no advantage of changing to follow-on milk

37
Q

How does wt gain look different in formula fed children?

A

Lose less wt in first few days following birth
Gain wt more quickly around 4-6 months
(increased risk of cardiovascular disease in the future)

38
Q

The cows protein in formula milk can increase the risk of juvenile onset diabetes TRUE/FALSE

A

TRUE

39
Q

What are the benefits of the whey protein that is found in breastmilk?

A

Easier to digest

Bacteriocidal effect

40
Q

What does lactoferrin do?

A

Allows iron to be absorbed

41
Q

What is used to investigate cow’s milk protein allergy in infants under 6 months of age?

A

A trial of hydrolysed infant formula

42
Q

What is the whey:caesin ratio of whey dominant formulas?

A

60:40

43
Q

Microwave ovens without a specialised steamer and dishwashers are ideal to use to sterilise bottles etc TRUE/FALSE

A

BIIIG LIE
Not ideal
Cannot guarantee that they reach high enough temperatures

44
Q

What are the two forms that formula can come in?

A

Dried powder

Ready to feed liquid

45
Q

TRUE/FALSE

Infants are more likely to become constipated on formula milks than breast milk

A

TRUE (ESP IF MADE UP INCORRECTLY)

46
Q

What are 3 clues that the baby may use to indicate that they are hungry?

A

Mouthing
Rooting
Fussing

47
Q

What angle should the bottle be at to feed the child?

A

Keep the bottle tilted and sit the baby upright so that milk doe snot pool at the back of his mouth

48
Q

Why do younger infants not need to feed as often as older infants?

A

They have smaller stomachs

49
Q

What is the average milk intake from 4 days- 6 months?

A

150ml/kg body wt in a 24h period

50
Q

In hot weather why might formula fed infants become thirsty?

A

The solute load of formula is greater than that of breast milk

51
Q

In hot weather plain, cooled boiled water can be given to babies if they are thirsty TRUE/FALSE

A

FALSE
can be given to infant fed babies
not to breast milk ( the composition changes as needs be)

52
Q

Storing infant formula

A

Constantly below 5 degrees
use within 24h (if leftover from feed discarded after 2h)
use a cool box with ice bricks if need to carry prepared feeds

53
Q

Why should a microwave not be used to warm refrigerated feeds?

A

Ongoing heating- will continue to heat after removal from the microwave
“Hot spots”

ADELE-Repro Ramblings (21 decks)

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