Maternal Physical Health and Lactation Flashcards

1
Q

Common drugs for migraine are generally ______ with breastfeeding. Give some examples

A

compatible.

ex: propranol, sumatriptan succinate, NSAIDS, metoclopramide and diphenhydramine, anticonvulsants and antidepressants

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2
Q

Infection disease. Continue to breastfeed? Beware of what med for colds?

A

in most cases, treat and continue to breastfeed.
Beware of pseudophedrine (decongestant) because it can reduce milk supply

Most antibiotics are safe

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3
Q

What is the recommendation if a parent is found to have TB at the time of delivery?

A

Separate parent from infant for 2 weeks.

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4
Q

Is breastfeeding recommended during Zika infection?

A

Yes

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5
Q

Should a parent with Ebola breastfeed?

A

No

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6
Q

WHO recommendation for breastfeeding and HIV?

A

Exclusive breastfeeding for 6 months and continued breastfeeding with complementary food along with ART for mother and baby.

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7
Q

Breastfeeding considerations and COVID?

A

yes breastfeeding, vaccination recommended, practice rooming in with masking and infant in isolette.

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8
Q

Which population should be strongly encourage to express colostrum antenatally?

A

Parents with diabetes

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9
Q

Diabetic parents are at higher risk of delayed lactogenesis 2 and which infections related to breastfeeding?

A

mastitis and candidiasis

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10
Q

which thyroid disorder can impact milk supply?

A

hypothyroid

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11
Q

Symptoms of Sheehan’s syndrome?

A
  • lactation failure
  • loss of pubic hair
  • cold intolerance
  • breast and vaginal tissue atrophy
  • low BP
  • hypothyroidism
  • adrenal failure
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12
Q

Is breastfeeding contraindicated for a person with cystic fibrosis?

A

No, but these patients will require increased support and guidance in terms of maternal nutritional needs, infection control rest, and medication review

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13
Q

Some breastfeeding risk factors of parents with PCOS

A

breast shape variation, little change in breast size during pregnancy, insufficient milk production, insulin resistance

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14
Q

Breastfeeding should be _______ in patients with Chron’s or Ulcerative Colitis

A

Encouraged.

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15
Q

Lupus patients may experience exaggerated postpartum flare ups, true or false?

A

True

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16
Q

What is known of relapse in MS as it relates to pregnancy and lactation?

A

Risk of relapse decreases during pregnancy but increases postpartum (as much as 70%) especially in the first 3-4 months

17
Q

Many epilepsy medications are considered safe in lactation. Which anticonvulsants are contraindicated during lactation?

A

Clonazepam, Diazepam, ethosuximide and zonisamide

18
Q

HSV can not be transmitted to the breastfeeding infant, true or false.

A

False. It is crucial to rule out HSV as infants can develop life threatening infection involving the CNS

Parents with open/active lesions should be treated and pump breasts instead of breastfeeding

19
Q

Cancers most frequently diagnosed during pregnancy

A

breast, cervical, ovarian, thyroid