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Y4R1 - Pediatrics I 👶 > L6: Breast Feeding > Flashcards

L6: Breast Feeding Flashcards

1
Q

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

A

Breast milk

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2
Q

Breastfeeding has: ….. advantages.

A

Nutritional,
Immunologic
Psychologic

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3
Q

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.

A

even higher

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4
Q

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

A
  • born after 32 weeks gestation with no respiratory problems
  • breastfed exclusively for 6 months following delivery.
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5
Q

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

A

…

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6
Q

Any infant that demonstrates signs or symptoms of illness such as

respiratory distress
poor suckling
abdominal distension

should be evaluated immed

A

..

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7
Q

Ten steps of successful breastfeeding

A
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8
Q

Initiation & maintenance of breastfeeding

A
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9
Q

Maternal practices that increase milk production such as: ….

A

◈ Increased fluid intake.

◈ Nutritionally balanced diet.

◈ Frequent rest periods.

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

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10
Q

To check positioning, look for:

A
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11
Q

Positioning and latch

A
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11
Q
A

..

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12
Q

To check attachment, Look for:

A
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13
Q

Use of both breasts

A

 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.

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14
Q

When the infant is not available or able to breastfeed

  • the mother should be encouraged …..
A

to pump and store her milk.

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15
Q
A

cup, spoon, or tube feeding should be considered

16
Q

ipple confusion can be prevented by ….

A

avoiding supplementing breastfeeding with bottle-feeding.

17
Q

Problems of breastfeeding

A
  • Engorment
  • Nipple Discomfort
18
Q

Prevention of Engorgement

A
19
Q

Managment of Engorgement

A
20
Q

Prevention of Nipple discomfort

A
21
Q

Managment of Nipple discomfort

A
22
Q

Care of the infant with breastfeeding difficulty

A
23
Q

If the infant has a weak or ineffective suck ⇢

A

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

24
Q

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

A

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.

25
Q

Methods of evaluation of an infant has difficulty with breastfeeding

A
26
Q

Indications of Expression and storage of breast milk

A

 Lack of mother experiences.

 Breast engorgement.

 Sick and at-risk infants requiring alternative feeding.

 If mother will not be available for the feeding.

27
Q

Procedure of Expression and storage of breast milk

A
  • Hand expression of breast milk
  • Mechanical expression of breast milk
28
Q

goals in Expression and storage of breast milk

A

◈ To supply breast milk for use while mother and baby are separated.

◈ To increase milk supply.

◈ To prevent or relieve engorgement.

29
Q

Tips in Expression and storage of breast milk

A
30
Q

Milk storage guidelines for hospitalized infants

A
31
Q

General Guidelines for Milk storage

A
32
Q

Guidlines for Milk storage

  • Term Infant
A
  • 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.
33
Q

Guidlines for Milk storage

  • Container Choices
A
  • Express directly into a clean/sterile glass or hard plastic container.
  • Use of soft plastic bags is discouraged.
34
Q

Guidlines for Milk storage

  • Preterm / Sick Infants
A
35
Q

Shelf Life of Milk

A
36
Q

Refreezing Breast Milk

A

◈ 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.

37
Q

Thawing Breast Milk

A

Y4R1 - Pediatrics I 👶 (5 decks)

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