L6: Breast Feeding

Question 1

….. is the preferred feeding for all newborns including the premature

Answer 1

Breast milk

Question 2

Breastfeeding has: ….. advantages.

Answer 2

Nutritional,
Immunologic
Psychologic

Question 3

Breast milk from mothers of premature babies has been found to have …… amounts of protein, IgA antibodies, cholesterol and fatty acids than milk from mothers of term babies.

Answer 3

even higher

Question 4

All healthy full-term and low-risk preterm infants (……) should be …….

Answer 4

• born after 32 weeks gestation with no respiratory problems
• breastfed exclusively for 6 months following delivery.

Question 5

The infant should be allowed to feed on demand day and night with no restriction on frequency or length of time.

Answer 5

…

Question 6

Any infant that demonstrates signs or symptoms of illness such as

respiratory distress
poor suckling
abdominal distension

should be evaluated immed

Answer 6

..

Question 7

Ten steps of successful breastfeeding

Answer 7

Question 8

Initiation & maintenance of breastfeeding

Answer 8

Question 9

Maternal practices that increase milk production such as: ….

Answer 9

◈ Increased fluid intake.

◈ Nutritionally balanced diet.

◈ Frequent rest periods.

◈ Smaller frequent breastfeeding attempts, especially with skin-to-skin contact.

Question 10

To check positioning, look for:

Answer 10

Question 11

Positioning and latch

Answer 11

Question 11

Answer 11

..

Question 12

To check attachment, Look for:

Answer 12

Question 13

Use of both breasts

Answer 13

 Continue breast feeding from one breast till the baby release the breast.

 Baby should not be taken off from the breast – hind milk.

 Offer the second breast – let the baby decide.

 Never use bottle or pacifiers.

Question 14

When the infant is not available or able to breastfeed

• the mother should be encouraged …..

Answer 14

to pump and store her milk.

Answer 15

cup, spoon, or tube feeding should be considered

Question 16

ipple confusion can be prevented by ….

Answer 16

avoiding supplementing breastfeeding with bottle-feeding.

Question 17

Problems of breastfeeding

Answer 17

• Engorment
• Nipple Discomfort

Question 18

Prevention of Engorgement

Answer 18

Question 19

Managment of Engorgement

Answer 19

Question 20

Prevention of Nipple discomfort

Answer 20

Question 21

Managment of Nipple discomfort

Answer 21

Question 22

Care of the infant with breastfeeding difficulty

Answer 22

Question 23

If the infant has a weak or ineffective suck ⇢

Answer 23

hand expression of milk may help to
initiate the let-down reflex and
stimulate the infant to breastfeed.

Question 24

If the infant has uncoordinated suck and swallow or a sucking defect ⇢

Answer 24

Should be evaluated during breastfeeding to determine different successful positions or alternative methods of feeding, such as spoon, cup, or tube feedings of expressed breast milk.

Question 25

Methods of evaluation of an infant has difficulty with breastfeeding

Answer 25

Question 26

Indications of Expression and storage of breast milk

Answer 26

 Lack of mother experiences.  Breast engorgement.  Sick and at-risk infants requiring alternative feeding.  If mother will not be available for the feeding.

Question 27

Procedure of Expression and storage of breast milk

Answer 27

- Hand expression of breast milk - Mechanical expression of breast milk

Question 28

goals in Expression and storage of breast milk

Answer 28

◈ To supply breast milk for use while mother and baby are separated. ◈ To increase milk supply. ◈ To prevent or relieve engorgement.

Question 29

Tips in Expression and storage of breast milk

Answer 29

Question 30

Milk storage guidelines for hospitalized infants

Answer 30

Question 31

General Guidelines for Milk storage

Answer 31

Question 32

Guidlines for Milk storage - Term Infant

Answer 32

- Clean, heavy plastic or glass bottles. - Container should be washed well in a dishwasher with a sanitizing cycle or washed by hand in hot, soapy water and rinsed well with hot water.

Question 33

Guidlines for Milk storage - Container Choices

Answer 33

- Express directly into a clean/sterile glass or hard plastic container. - Use of soft plastic bags is discouraged.

Question 34

Guidlines for Milk storage - Preterm / Sick Infants

Answer 34

Question 35

Shelf Life of Milk

Answer 35

Question 36

Refreezing Breast Milk

Answer 36

◈ It is not recommended to freeze breast milk that has thawed or partially thawed. ◈ Do not re-use milk left over in bottle, as baby’s saliva may contaminate the milk.

Question 37

Thawing Breast Milk

Answer 37