Module 8: Newborn Feeding Flashcards
1
Q
Identify and describe the benefits of breastfeeding
A
- all the nutrition an infant would require, superior to any alternative
- nutrients in breast milk are more easily absorbed than those in formula
2
Q
Describe and teach how breast milk is produced
A
- prolactin is the hormone that produces milk
- under the influence of prolactin, alveoli produce milk
- oxytocin lets milk flow
- colostrum is the first milk produced, thick yellow substance, has protein, vitamins a d e k
- lasts the first three ays after birth and only couple tbsp released
- transitional milk
- vit d needs to supplemented
- fore milk is watery meant to quench infants thirst
- hindemilk is the fatty heavy milk, keeps the infant full
3
Q
infant cues
A
- hand to mouth movements
- mouth and tongue movements
- sucking motions
- rooting movements
- clenched fists
- kicking of legs
- crying (a late sign)
4
Q
latch
A
- cross cradle -
- football hold
- side lying position
- an effective latch
- the new born needs to open their mouth very wide before introducing the breast into the mouth
- the bottom lip should be at the bottom of the areola, lip will flip out
- top lip should be at the top of the areola, it will also flip out
5
Q
adequate intake
A
- letdown reflex occurs
- a tingling sensation with milk dripping from nipple
- infants nurses for 15 mins per breast 8-10 times per day
- audible swallow is heard
- infant appears relaxed after feeding
- infant has 6-8 wet diapers a day
- infant passes several stools per day (3-6)
- gaining weight
- breast feels soft after feeding
6
Q
identify and describe medical indications for supplementation of breastfed infants
A
- personal preference
- influence of other signficant family members
- lack of familiarity with breastfeeding
- breast surgery
- infant formal may supplement breast feeding is mothers milk supply is inadequate
7
Q
sleepy newborn
A
- wake child up, or increase wakefulness
- tickle the feet, undressing a layer
8
Q
tongue tie
A
- difficulty to latch, feeding may not be present
- notify a physician
- prevent tongue from going under the nipple, and cannot aid in expressing for milk
- MD will cut the tongue tie
9
Q
candidiasis of newborn or mother
A
- Thrush: oral yeast infection (candidiasis), white or yellow film in mouth and on tongue. Wipe with a cloth, and if it stays its candidiasis
- anti fungal can be given
10
Q
sore nipples
A
- rub a small amount of breast milk around the nipple
11
Q
engorgement
A
- breast and areola are very tense and distended
- continue to breastfeed and pump to encourage milk flow out to the breast
- manual massage, cool and warm compresses
12
Q
mastitis
A
- is a result of engorgement
- can result in swelling, warmth and redness, may also have a fever and chills
- breast feeding will help it go away
13
Q
Describe nursing interventions to promote increasing milk supply
A
- mother needs approx 500 calories addition to non pregnant diet
- 8-10 glasses of fluid per day
- some food eaten by mother may cause a change in the taste of the milk or cassette infant to develop flatus
- medication taken by the mother may be secreted in the breast milk
14
Q
Describe and implement appropriate nursing interventions for milk expression
a.techniques
A
- hand expression
- mechanical pump
- needs to be sterilized
15
Q
handling and storage
A
- can be stored in room temp for 4 hours, safely stored or frozen in glass or hard plastic containers
- refrigerate for 96 hours or in freezer for up to 2 weeks
- can be thawed in refrigerator for no longer than 24 hours before using
- microwaving breast milk is not advised as it destroys immune factors in the milk
