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
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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
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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)
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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
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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
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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
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7
Q

sleepy newborn

A
  • wake child up, or increase wakefulness

- tickle the feet, undressing a layer

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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
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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
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10
Q

sore nipples

A
  • rub a small amount of breast milk around the nipple
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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
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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
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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
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14
Q

Describe and implement appropriate nursing interventions for milk expression
a.techniques

A
  • hand expression
  • mechanical pump
  • needs to be sterilized
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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
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16
Q

preparation

A
  • it is important to follow the manufacturers instruction on preparation and storage
17
Q

promote attachment

A
  • feeding every 3-4 hours because formula is digested more slowly than breast milk
  • do not microwave
  • do not prop bottle
  • involve partner and family in bottle feeding of infant
18
Q

Define the Baby Friendly Initiative (BFI)

A
  • breastfeeding promotion and early initiation
  • mother and baby in the same room
  • feeding on demand