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NM 705 PP + NB Care > Module 3 > Flashcards

Module 3 Flashcards

1
Q

basic unit of glandular tissue

A

alveoli

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2
Q

milk-secreting unit

A

alveolus

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3
Q

cells that surround alveolus and contract to milk eject

A

myoepithelial cells

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4
Q

collection of one primary duct and its ductules/aveoli. 15-20 per breast.

A

lobe

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5
Q

where 10-15 ducts congregate

A

nipple

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6
Q

growth of nipples causing them to be more erect during pregnancy is caused by serum ________

A

prolactin

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7
Q

diameter of areola increased by ___%

A

40

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8
Q

lobes, lobules, and alveoli increase in size due to:

A

progesterone

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9
Q

ductules proliferate and differentiate due to:

A

estrogen

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10
Q

prolactin stimulation of mammary secretory epithelial cells to produce milk after ____ weeks gestation

A

16

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11
Q

occurs when prolactin stimulates mammary secretory epithelial cells to produce milk and alveoli become distended and milk droplets move to ductules

A

Lactogenesis Stage I

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12
Q

occurs on day 2-8 postpartum as a result of placenta delivery in which the breasts produce copious amounts of milk (delays may be caused by disruption of hormone cascade)

A

Lactogenesis Stage II

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13
Q

hormone released from posterior pituitary by newborn suckling that:
Causes uterine contractions
Causes contraction of myoepithelial cells to eject milk from alveoli into ducts
Results in a feeling of calm

A

oxytocin

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14
Q

oxytocin is released by the:

A

posterior pituitary

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15
Q

Maternal ________ reduces oxytocin release

A

stress

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16
Q

hormone released from anterior pituitary gland that causes milk synthesis

A

prolactin

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17
Q

hormone that is inhibited by progesterone, estrogen, and dopamine

A

prolactin

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18
Q

With milk removal, hypothalamus inhibits ________

A

dopamine

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19
Q

Nipple stimulation doubles plasma concentration of:

A

prolactin

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20
Q

Greater than 8 feedings/24 hrs prevents ___________ decline

A

prolactin

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21
Q

prolactin levels are higher at _____time

A

night

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22
Q

The Maintenance of Milk Supply that is completely baby driven (autocrine) NOT hormone driven (endocrine)

A

Galactopoesis

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23
Q

Rate of milk synthesis mL/hr

A

17-33 mL/hour

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24
Q

slower milk synthesis rates will occur when breasts are _______

A

full

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25
Q

Breastmilk is ____% water

A

87.5%

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26
Q

Breastmilk has Vitamins ___ ____ ____

A

A, C, E

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27
Q

Breastmilk has ____ protein

A

whey

28
Q

Breastmilk has these immunoglobulins

A

SIgA, IgM, IgG

29
Q

component of breastmilk that inhibits the adhesion of e.coli to cells

A

lactoferrin

30
Q

bactericidal and anti-inflammatory component of breastmilk that increases in concentration after 6 months old

A

lysozome

31
Q

components of breastmilk that help with muscle and protein building

A

taurine, casein

32
Q

components of breastmilk that digest bacteria

A

prostaglandins and cytokines

33
Q

primary dietary source of calories in breastmilk

A

fats

34
Q

long-chain poly-unsaturated fatty acids aid in _______ ability in baby

A

cognitive

35
Q

free-fatty acids in breastmilk are anti-________

A

infective

36
Q

Vitamin responsbile for Central Nervous System development in baby so vegan diet may result in breastmilk deficiency

A

B12

37
Q

Vitamin in breastmilk but it takes several days for gut promotes normal colonization to synthesize it

A

Vitamin K

38
Q

________ is 5x more absorbable in breastmilk than in formula

A

Iron

39
Q

amount of antibodies in the breastmilk is _______-dependent

A

dose

40
Q

pathways that result in mom producing antibodies in breastmilk that will protect from certain pathogens that she or baby comes into contact with

A

lymphocyte

41
Q

has a greater concentration of protein and IgA than breastmilk

A

colostrum

42
Q

colostrum production rate in 1st 24 hours

A

37 mL/hr (7 mL/feeding)

43
Q

the most important antibody that protects baby from respiratory and GI illnesses

A

SIgA

44
Q

this hormone will rapidly decrease if the breasts are not stimulated by suckling

A

prolactin

45
Q

nutrient that is higher in concentration in colostrum than in mature milk

A

protein

46
Q

management of nipple pain can be eased by:

A

breastfeeding on least sore side first

47
Q

breastfeeding mothers should supplement ____-____ ug of iodine daily

A

150-250

48
Q

breastmilk stored in separate-door freezer should be used:

A

ASAP to maintain nourishment

49
Q

BFing mothers with a vegan diet should supplement dietary Vitamins ____, ____, ____

A

B12, Vit. D, Iron

50
Q

the most influential person on African American mother’s choice to breastfeed

A

maternal GM

51
Q 
Factors that influence \_\_\_\_\_\_\_\_\_\_\_\_\_\_:
culture
ethnicity
education
family
economic status
advertising
support
A

mother’s choice to breastfeed

52
Q

AAP breastfeeding recommendations

A

1 year; exclusive x 6 months, add solids @ 6 months

53
Q

WHO breastfeeding recommendations

A

2 years; exclusive x 6 months, add solids @ 6 months

54
Q

Risks of ___________:
possible contamination during manufacturing/preparing
not enough money
incorrect preparation

A

formula feeding

55
Q 
Risks of \_\_\_\_\_\_\_\_\_\_\_\_:
osteoporosis
premenopausal breast cancer
ovarian cancer
liklihood of closely-spaced pregnancies
Type II DM
A

not breastfeeding for mother

56
Q

1a. Comply fully with the International Code of Marketing of Breast-milk Substitutes and relevant World Health Assembly resolutions.
1b. Have a written infant feeding policy that is routinely communicated to staff and parents.
1c. Establish ongoing monitoring and data-management systems.
2. Ensure that staff have sufficient knowledge, competence and skills to support breastfeeding.

Key clinical practices:
3. Discuss the importance and management of breastfeeding with pregnant women and their families.

  1. Facilitate immediate and uninterrupted skin-to-skin contact and support mothers to initiate breastfeeding as soon as possible after birth.
  2. Support mothers to initiate and maintain breastfeeding and manage common difficulties.
  3. Do not provide breastfed newborns any food or fluids other than breast milk, unless medically indicated.
  4. Enable mothers and their infants to remain together and to practise rooming-in 24 hours a day.
  5. Support mothers to recognize and respond to their infants’ cues for feeding.
  6. Counsel mothers on the use and risks of feeding bottles, teats and pacifiers.
  7. Coordinate discharge so that parents and their infants have timely access to ongoing support and care.
A

Ten Steps for Baby-Friendly Hospital Status

57
Q

milk removal must occur by day ___ after birth to establish successful lactation

A

3

58
Q

by day 5, babies will intake ___-___ mL breastmilk per day

A

500-800

59
Q

severe engorgement symptoms

A

baby unable to latch

mild fever

60
Q 
\_\_\_\_\_\_\_\_\_\_\_\_ treatment:
massage
heat compress
warm bath
no wire bra, well fitted cotton bras
lecithin
A

plugged duct

61
Q

antineoplastic agents, radiopharmaceuticals, amiodarone, lithium

A

drugs that cannot be taken while breastfeeding

62
Q

drugs with molecular weight >___________ can not enter the milkd

A

1000 daltons

63
Q

HIV positive mothers __________ breastfeed

A

should not

64
Q

breast growth and development

A

mammogenesis

65
Q

hormones that contribute to duct and glandular development

A

estrogen and progesterone

NM 705 PP + NB Care (4 decks)

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