Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

4500 Gender & reproductive health > Week 7 - newborn feeding > Flashcards

Week 7 - newborn feeding Flashcards

1
Q

how many months is exclusive breast milk recommended for?

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How much vitamin D should be given for all breast/human milk babies?

A

400 IU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What mineral should be present in foods at six months?

A

Iron rich

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why is human milk considered living tissue?

A

-because it contains almost as many live cells as blood
- baceriologically safe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are 4 benefits of human milk to babies?

A
  1. Immunity
  2. Decreased risk of many types of diseases
  3. Anaglesic for NBs
  4. Enhances brain development
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the benefits of breast/chest feeding to the birther?

A
  1. decreased risk of many issues- namely PPH (helps uterine involution)
  2. helps decrease weight after pregnancy
  3. Helps with infant bonding
  4. convenient and free
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Who is contraindicated to breast/chest feed?

A
  1. HIV birthers
  2. birthers undergoing cancer treatments
  3. substance using birthers (gets to baby)
  4. Herpes simplex lesion on breast
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Can birthers on methodone or subboxone breast/chest feed?

A

yes!
helps with withdrawl symptoms in babies also

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How long should we keep baby on birther’s chest/skin to skin?

A

start of birth (PP) until after the 1st feed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how often should parents feed their baby?

A

8-12 x per day and PRN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When does lactogenesis begin?

A

Stag 1 - in pregnency and ends with the start of increased milk production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is stage II lactogenesis?

A

starts with increased milk about 2-3 PP until day 8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is stage III of lactogenesis?

A

when mature milk is produced
usually 9+ days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 2 most important signs of good infant fluid intake during Post partum time?

A
  1. gaining weight </= 7% weight loss
  2. hydrated enough (no signs of dehydration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what vitamin does breast milk not contain?

A

vitamin D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what hormone produces milk during lactogenesis?

A

prolactin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When are prolactin levels the most high?

A

first 10 days after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How is prolactin produced?

A

-in response to infant suckling
- removal of milk from breast/chest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What two hormones are involved in lactogenesis?

A

Oxytocin
Prolactin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what does oxytocin do for breast feeding?

A

milk ejection reflex (the let down)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what reflex is integral to lactation?

A

the nipple-erection reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how is oxytocin stimulated during breastfeeding?

A

nipple is stimulated by infant
hypothalamus prompts the posterior pituitary to produce oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the major immune globulin in human milk?

A

secretory immunoglobulin A

24
Q

what is colostrum rich in?

A

immunoglobulins

25
Q

what does colostrum have a higher consentration of than regular human milk?

A

protein
fat-soluble vitamins
minerals
- less fat that mature milk

26
Q

What are the three stages of breast milk?

A
  1. colostrum
  2. transitional milk
  3. mature milk
27
Q

what decreases in transitional milk?

A
  • immunoglobulins
  • protein
28
Q

what increases in transitional milk?

A

lactose
fat
total calories

29
Q

what increases in mature milk?

A

fat
lactose

30
Q

what decreases in mature milk?

A

protein

31
Q

what is the average duration of feedings per breast?

A

20 min per breast

32
Q

how often should baby be fed in 24 hours?

A

8-12 feedings
and PRN (cues)

33
Q

how do we know breastfeeding is effective?

A
  1. urine & stool (1=1 day, 2=2 days- etc up to 4-6 by day 4)
  2. weight - once a day weights
34
Q

if ______ is still present in stools on day 3-4 we ned to reassess breast/chest feeding

A

meconium

35
Q

What are indications of a good latch?

A
  • The mother feels a firm tugging sensation on the breast, but feels no pinching
    or pain.
  • The baby sucks with cheeks rounded, not dimpled.
  • The baby’s jaw glides smoothly with sucking.
  • Swallowing is usually audible
  • The baby cannot be easily removed from the breast.
  • The mother’s nipple is not distorted when the baby releases from the breast.
36
Q

What do we assess birther nipples for?

A

erythema
cracks

36
Q

how often do we assess breasts using the LATCH-R acronym ?

A

Q8 hours

37
Q

how much should baby be gaining day 4 onward?

A

20-35g/day

38
Q

when should babies be back at birth weight?

A

10-14 days of age

39
Q

how often should babies be weighed in hospital?

A

after first feed
Q24 hours

40
Q

what are the 6 feeding cues?

A
  1. hand to mouth
  2. sucking motions
  3. rooting reflex
  4. mouthing
  5. flexed arms and legs with clenched fists
  6. crying - late sign
41
Q

What are 4 newborn assessment findings we need to notify the provider about ?

A
  1. not feeding well
  2. not passing a void in 24 hours
  3. excessive regurgitation or vomiting
  4. masses in the abdomen
42
Q

what is the min amount of calories a birther should eat postpartum?

A

<1800 cal

43
Q

What should we not put on the breasts/nipples?

A

soap
creams (except specific)
no underwires
plastic lined breast pads

44
Q

What are the 4 things breastfeeding birthers should focus on for their own health?

A
  1. good nutrition
  2. hydration
  3. exercise
  4. Rest
45
Q

If someone wants to use lactation as birth control, how often must they feed/express and what else is important for it to work?

A
  • no period
  • q4-6 hours day /night
  • *can still ovulate before period
46
Q

what is a harm reduction approach with breastfeeding and smoking?

A

not within 2 hours

47
Q

When is engorgement normal?

A

2-5 days postpartum
*bilateral
lasts <24 hours
*afebrile

48
Q

What are some problems when it comes to breastfeeding?

A
  1. engorgement
  2. sore nipples
  3. Insufficient milk supply
  4. Plugged milk ducts
  5. Mastitis
49
Q

what are 3 reasons for sore nipples later in breastfeeding?

A
  1. yeast infection
  2. latch issues
  3. monilial infections (fungus)
50
Q

if an infant is fed formula, do they require vitamin D?

A

no, its in the formula unless at high risk for deficiency (individual basis)

51
Q

What do we assess after hospital discharge regarding breast feeding?

A
  1. infant feeding pattern
  2. jaundice
  3. breast discomfort reasons
52
Q

What 3 things do we need to educate parents about formula?

A
  1. approved by health canada
  2. cow’s milk with iron is recommended
  3. always check expiry
53
Q

What is the general formula feeding guideline for the first 24 hours of life?

A

5-10 mls per feed Q2-3 hours

54
Q

What is the general guidance for formula feeding for the first 24-48 hours of life?

A

10-15 mls per feed Q 2-3 hours

4500 Gender & reproductive health (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions