T6: Newborn Nutrition

Question 1

Exclusive Breastfeeding for….

Answer 1

6 months of life (this includes no water

Question 2

if baby stops breast feeding after 6 months what is recommended?

Answer 2

supplement with formula or other human milk (donated)

Question 3

what is a priority to babies of diabetic mothers

Answer 3

feed the baby right away because they are used to high glucose levels so they can become hypoglycemic

Question 4

contraindications for breastfeeding

Answer 4

-In United States: HIV positive
-Untreated TB
-Positive human T-cell lymphotrophic virus type I or II with untreated brucellosis
-Active herpes lesions around breast
-Maternal illegal drug use

Question 5

prolactin

Answer 5

Milk production, impacts ovulation and return of menses

Question 6

oxytocin

Answer 6

Milk ejection “letting down reflex”

Question 7

normal breast during pregnancy

Answer 7

-Venous pattern more prominent
-Nipples and areola more pigmented
-Montgomery tubercles prominent (Raised pinkish red nodules on the areola)

Question 8

When is colostrum present?

Answer 8

16 weeks gestation

Question 9

when does mature milk production begin

Answer 9

day 3 after delivery

Question 10

encourage mom to…

Answer 10

breastfeed in the first 30 minutes of life

Question 11

feeding cues

Answer 11

o Crying, rooting, open their mouths

Question 12

holds for breast feeding

Answer 12

o Football hold, modified cradle, cradle hold, side lying

Question 13

education fro side lying breast feeding position

Answer 13

Educate mom for side lying that they need not to fall asleep so that they don’t roll on baby

Question 14

what helps babies latch on with an inverted nipple

Answer 14

nipple shield

Question 15

how much of the breast should be in the mouth of the infant

Answer 15

as much as the areola as posisble

Question 16

the lips of the baby make a seal in the mouth, so..

Answer 16

When taking baby off use a finger to break the seal

Question 17

Indicators of effective feeding

Answer 17

o Wet and dirty diapers tell you if baby is well fed

Question 18

normal indicator for effective feeding

Answer 18

6-8 wet diapers and at least 3 bowel movements/day

Question 19

breast milk can be stored at room temperature for

Answer 19

3-4 hours

Question 20

breast milk can be stored in the fridge for

Answer 20

longer than 3-4 hours, this lasts 5-8 days

Question 21

breast milk can be stored in the freezer for

Answer 21

6 months

Question 22

breast milk can be stored in the deep freezer for

Answer 22

12 months

Question 23

how to know if the baby is getting enough breast milk

Answer 23

o First 24 hours (1 day old) - 1 wet, 1 dirty diaper
o Second 24 hours (2 days old) - 2 wet, 2 dirty diapers
o Third 24 hours (3 days old)- 3 wet, 3 dirty diapers
o When milk is in - 6-8 wet, 2-10 dirty diapers

Question 24

meconium stool

Answer 24

first stool of baby

Question 25

stool color changes to what when breastfeeding

Answer 25

light yellow, seedy, watery and frequent

Question 26

how to promote milk supply

Answer 26

• Early initiation of breast feeding
• Correct sucking pattern
• Frequent feedings
• Emotional support and encouragement to mother