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Breastfeeding and in
Lowdermilk Nursing exam 1 part 3 week 2
| Question | Answer |
|---|---|
| BF exclusively for 1st __ mo. and continue for at least ___ mo. | 6 months 12 months |
| If weaned of breast < 12 mo., provide _____________ infant formula. | iron-fortified |
| Choosing an infant feeding method should be an….. | informed decision based on: Nutritional/immunologic needs of NB Benefits Risks with formulas |
| Immigrants may perceive formula as: | Modern A way to adapt to North American culture |
| Cultures have specific beliefs & practices to | foster milk production. |
| Human milk is designed for human infants & is | nutritionally superior to any alternative |
| Breast milk is considered | a living tissue |
| BF BEST for MOMS because it | Promotes bonding Controls PP bleeding Keeps bones strong Uses up extra weight gained during pregnancy Saves $ Saves time “Green” |
| Breastfeeding is a SKILL and often takes time to | LEARN |
| TIPS TO HELP BF | BF early – within ______ after birth Get help Breastfeed often - q 1½ - 3 h or 8 – 12 x/day No soothers or bottles until 4-6 weeks. Only breast milk for 1st 6 mos. |
| Signs of Effective BF MOTHER | mother knows techniques appropriate response to infant's feeding rediness cues\mother's ability to facilitate efficient breastfeeding\mother's adequate fluid and caloric intake for breastfeeding. |
| Signs of Effective BF INFANT | Weight gain – at least 1 ounce/day after day 5 Deep & slow sucks Pauses - reflect a mouthful & swallow Other signs? |
| GENERAL BREAST CARE | Wash breasts daily with plain water (NO soap). Wear a well-fitting bra with NO underwires. After BF, express milk onto nipples & areola & allow to dry before reapplying bra. |
| CUES | Vital signs within normal limits Unlabored respirations, nares patent, no cyanosis Active bowel sounds No abdominal distention |
| Behavioural Cues TO FEEDING READINESS | Hand-to-mouth or hand-to-hand movements |
| INFANT’S NUTRIENT NEEDS | Fluids Energy Carbohydrate Fat Protein Vitamins Minerals |
| size of breast usually | not an issue |
| at 16 weeks gestation, alveoli begin producing | colostrum (influenced by HPL) |
| Hormone prolactin responsible for | breastfeeding |
| prolactin levels highest during | 10 days after birth, gradually declining, but remaining above baseline levels for duration of lactation |
| prolactin produced in response to | NB sucking & emptying breasts (milk constantly produced as infant feeds) |
| milk-production is a ______________________ system | supply-meets-demand |
| oxytocin also essential to lactation because it is | produced by posterior pituitary in response to stimulation of hypothalamus responsible for the milk-ejection reflex (let-down reflex) can be produced by thoughts of baby, etc. helps uterus to contract |
| painful afterpains occur with BF for 1st | 3-5 days, especially in multiparas |
| Human milk contains antimicrobial antibodies | Immunoglobulin A (IgA) major antibody Colostrum is more concentrated than mature milk & rich in immunoglobulins |
| Human milk | Contains antimicrobial antibodies and has > concentrations of protein & minerals but < fat than mature milk |
| Human milk changes in composition with each | stage of lactation, during each feeding, & as infant grows |
| Expected Outcomes RT BF: Infant | Latch on & feed effectively at least 8 x/day Gain weight – 1 ounce/day Remain well hydrated (have 6-8 wet diapers and 3 BM’s q 24 h > day 5) Sleep or seem content between feedings |
| Expected Outcomes RT BF: The Mother | Verbalizes understanding of BF, including positioning, latch-on, signs of adequate feeding, self-care Reports no nipple discomfort Consumes a nutritionally balanced diet with appropriate caloric and fluid intake Expresses satisfaction with BF exper |
| Parents should be informed of benefits of BF for | infants, mothers, families, & society antenatally. |
| nfants should be BF ASAP after birth & | at least 8 - 12 x/day after |
| Specific, measurable indicators show when | the NB is BF effectively. |
| Breast milk production is based on | supply-meets-demand principle |
| Commercial infant formulas provide | satisfactory nutrition for most infants. |
| All infants should be held | closely for feedings |
Created by:
knnmala
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