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General Information- breastfeeding > Marie's Information > Flashcards

Marie's Information Flashcards

1
Q

The higher the acid content in the gut, is there more or less lactobacillus.

A

MORE

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2
Q

Name 3 bioactive factors in human milk

A

Glucoconjugate, nucleotides, cytokines

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3
Q

Lactating women are deficient in both____and______

A

Calcium and Zinc

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4
Q

What are natural killer T Cells

A

NON_ SPECIFIC white cells that fight disease

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5
Q

At what age do toddlers use 3 word sentences

A

28 mos

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6
Q

What component is the main source of body’s fuel?

A

Glucose

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7
Q

What is the function of insulin

A

Trasport glucose to the cells

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8
Q

Describe the difference between type 1 and 2 diabetes

A

Type 1- immune system attacks and destroy pancreas insulin producing cells
Type 2 persons cells become resistant to effects of insulin.

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9
Q

Name endogenous source of glucose

A

glucogenesis, glycogenolysis, keotgenesis

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10
Q

An exogenous source of glucose

A

HUMAN MILK

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11
Q

What is normoglycemia

A

normal concentration of glucose in the blood . Depends on glycogen stores.

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12
Q

What is the percentage of energy provided by fatty acid in our diets

A

50 %

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13
Q

The 1990 Innocenti Declaration purpose

A

To protect, promote and support ( all governments should have polices,, and each should have a breastfeed coordinator .

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14
Q

What is the International Code of Marketing of breastmilk substitutes.

A

PUrpose is to protect breastfeeding.Applies to breastmilk substitutes when marketed as a substitute for breast milk and includes bottles and teats. No free or low cost supplies to hospital

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15
Q

KNOW the 10 steps to successful breastfeeding

A

1.Written policy
2.Train staff
3.All pregnant women receive info on benefits
4.breastfeeding within first hour of birth
5.How to maintain lactation if separated
6. Only breast milk unelss medically necessary
7. Rooming in
8 Breastfeed on demand
9.NO pacifiers
10 Refer to breast feeding support groups

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16
Q

Describe the Holder Method of pasteurization

A

Put bottles in water bath and bring to 145 degree F. Cover 1 bottle with foil and insert thermometer. Keep heat at 145 for 30 minutes. Then change HOT water gradually to cold. and cool milk to 80 degrees F. ( alter can add ice till 40 deg and then put in fridge)

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17
Q

How many half lives does it take for a drug to clear a baby’s system.

A

5 ( be able to do the math) A drug has 4 hour half life– 4x5 is 20 hours!

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18
Q

What are the common names for these drugs and their half life?

  1. Fluoxetine
  2. Imipramine
  3. Nortiptyline
  4. Paroxetine
  5. Sertradine
A
  1. Prozac ( 2-3 days ) can build up in system - poor choice
  2. Tobranil a tricyclic 8-17 hours
  3. Panelor Norpramine - tricyclic 16-90
  4. Paxil - 21 hours ( good choice
  5. Zoloft -26- 65 hours ( good choice)
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19
Q

Name 6 Cranial Nerves and their role in breast feeding

A

V- Trigenimal – lower jaw , face and tongue
V11 Facial - mouth tongue- taste- texture
1X Glossopharyngeal - pharynx, taste tongue and swallow
X Vagus- suck, breathe, pharynx, larynx, lung, hear, GI
X1 Spinal Accessary - neck
X11 Hypoglossal- tongue muscles, primary motor nerve

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20
Q

What is the average amt of milk released during a MER

A

35 mls

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21
Q

What is the average infant intake at the breast per feeding?

A

2.5 oz

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22
Q

What is the average 24 hour intake for a baby 11-16 mos?

A

19-oz

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23
Q

What is the average intake of milk for a 2 year old

A

10-12 oz a day

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24
Q

What is the average 24 hour milk intake of a 6 mos old

A

24 oz ( 75o mls)

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25
Q

What is the average milk intake at day 3 ( 24 hours)

A 
6 oz
day 1 - 3 oz
day 2 3 oz
day 3 6 oz
day 4- 12 oz
day 5 18 oz
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26
Q

When does suckling begin in utero

A

18-24 weeks

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27
Q

When doing a research study, what is considered the best and most reliable?

A

Randomized controlled study.

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28
Q

Describe MEAN, MEDIAN, MODE

A

Mean is the average
Median is the number in the middle or the average of the 2 middle numbers
Mode- the number which occurs most often

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29
Q

What is an odds ratio

A

The probability an event occurs to probability it does not occur.

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30
Q

If there is a p value of < 0.05. what is the confidence level?

A

95%

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31
Q

What constitutes “legally established professional relationship”.

A

Giving any advice ( including over the phone)

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32
Q

what would you look for when selecting a research tool

A

What it is designed to measure
Consistency
Reliability

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33
Q

What is an easy at home method to inactivate HIV in EBM- describe it.

A

Flash HEAT METHOD
Place EBM in a jar, and place jar in pan of water.
Bring water to boil
Immediately remove jar and cool

34
Q

What is statistical significance mean

A

probability that the observed relationship occurred by pure chance. It tells us the degree the result is true

35
Q

How do we interpret the P factor

A

the HIGHER the P value, the less we can trust.

36
Q

Explain P value .05 vs P value .001

A

.05 ( 1 out of 20) or 5 % probability that relationship a fluke
.001 (1 in a 1000) of .1% chance the relationship was a fluke OR the result happened by chance and not due to the relationship.

37
Q

Causation if effected by what three factors

A

Chance
Bias
Confounding variables

38
Q

What does low specificity mean?

A

Many false positives

39
Q

If data can be repeatedly replicated in a study it shows the ______ of a study.

A

Dependability

40
Q

Describe the meaning of a prospective cohort

A

It is observed “over time” A large group of people studied forward in time

41
Q

What is a case control study - describe

A

observational study of 2 existing groups who differ in outcome . One with a problem, one without the problem and then check for common experience( compare people who have a disease and those who do not but are otherwise similar and compare them

42
Q

What is the normal heart rate of a newborn

A

120-160
1-2 mos 100-150
2-5 mos 95-140
5-12 mos 80-120

43
Q

When do most babies start to crawl

A

6-8 mos

44
Q

What is the preferred angle of a babyy’s lips when assessing mouth gap at the breast

A

130 degree

45
Q

What is a normal BMI

A

18.5-24.9

46
Q

How do you measure BMI

A

wt in lbs x 703 divided by height in inches squared
130x703 (91390) / 5ft6 or 66inches then square(4356)
BMI is = 21

47
Q

What is a case control study – describe

A

observational study of 2 existing groups who differ in outcome . One with a problem, one without the problem and then check for common experience( compare people who have a disease and those who do not but are otherwise similar - check for the common experience.

48
Q

Describe the meaning of a prospective cohort

A

It is observed “over time” A large group of people studied forward in time

49
Q

If data can be repeatedly replicated in a study it shows the ______ of a study.

A

dependability

50
Q

What does low specificity in a study refer to?

A

many false positives in the study

51
Q

Causation is effected by what three factors

A

Chance, bias and confounding variables

52
Q

Explain P value of 0.05 and .001

A

.05 ( 1 out of 20) or 5 % probability that relationship a fluke
.001 (1 in a 1000) of .1% chance the relationship was a fluke OR the result happened by chance and not due to the relationship.

53
Q

How do we interpret P factor

A

The higher the p value the less we can trust the outcome

54
Q

What does statistical significance mean

A

the probability that the observed relationship occureed by pure chance . It tells us the degree the result is true

55
Q

What is the minimum maternity leave for international workers

A

14-18 weeks

56
Q

Does the WHO code discuss SNS and Pacifiers

A

SNS_NO

Pacifiers -YES

57
Q

How many refugees are there worldwide under the age of 5 yrs

A

5 million

58
Q

What is the % of children aged 18 mos who will acquire HIV from HIV mothers NOT treated with antiretrovirals

A

14-18%

59
Q

Most common age for SIDS

A

2-4 mos

60
Q

ACCording to WHO what is the % of children exclusively breastfed first 4 mos

A

35%

61
Q

List three items discussed in the Innocenti Declaration

A

1 BF coordinator
Legislation to support and help employed mothers
Implement the WHO Code ( marketing

62
Q

At what age does premature milk become mature milk

A

4 weeks

63
Q

Milk least variable component is

A

carbohydrates

64
Q

HIV invades the T cell vertically or horizontally

A

vertically

65
Q

If a mother pumps bright yellow milk after week 4, what should you consider

A

MRSA infection

66
Q

If a pump flange brings in 1/2 inch of the areola, this wouold be considered a good fit (TorF)

A

F no more then 1/4”

67
Q

an appropriate toy for a 2 week old is

A

a mobile – biancuszo

68
Q

the most effective treatment for nipple soreness

A

warm wet compresses

69
Q

Globally waht is the risk of HIV transmission through breastfeeding for more then ONE year

A

11-20%

70
Q

What is the most likely cause of weaning in developing countries

A

MOthers illness

71
Q

If a mom chosses to donat milk to a milk bank, which criteria does she often find difficult to adhere to

A

pumping and dumping during an illness.

72
Q

The high rate of infant mortality among Afro americans is largely attributed

A

feeding method

73
Q

at what age do children often develop a code word for feeding

A

5-9mos ( really????? biancuzo)

74
Q

how many hours a day does a 3 wek old sleep

A

16-18 hours

75
Q

describe a cross over study

A

A random intervention A, then intervention B then crossed over or change in order

76
Q

case control means

A

cases = illness vs control – no illness

77
Q

cohort study

A

1 group is exposed and the other is not

78
Q

Do non ionized drugs move into the milk compartment

A

YES

79
Q

Of the following contaminents - which will not transfer into milk
aluminum, cadmium, lead and mercury

A

Aluminum

80
Q

Can hypoglycemia affect let down

A

YES

81
Q

What is misfiecience

A

performing a legal action in an improper way. Oral assessment without gloves.

82
Q

how often will a 9 mos old nurse in a day

A

4-6 x according to Marie

General Information- breastfeeding (10 decks)

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