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N434 Exam 3 - Breastfeeding, Exams of Pediatrics

N434 Exam 3 - Breastfeeding N434 Exam 3 - Breastfeeding

Typology: Exams

2023/2024

Available from 04/04/2024

johnrays
johnrays 🇬🇧

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P a g e 1 | 6
1
1. What should be done immediately after
feeding? pumping
2. When should a mother switch breasts? when effective swallowing is no
longer observed
3. Until breastfeeding is established, what
needs to be maintained?
4. Why do we want the mother to fully
empty one breast before moving onto
the other?
5. What is some latching education we
can provide a mother who it breastfeed-
ing?
6. What can you do if the baby is having a
hard time latching?
pumping
calorie rich milk comes at the end
of the feed
- sit comfortably with back well
supported
- baby's shoulders, head, and
body should be supported with
your hand or arm
- baby's ear, shoulder, and hip
should be aligned
- nipple should be pointed towards
the baby's nose with their chin
coming to the breast first
- if you cannot get a good latch, try
he other breast
- change position of baby
- sandwich the breast
7. How can we encourage feeding? - 'hard express' a drop of milk to
give baby a taste of milk
- stroke your baby's upper lip to
encourage rooting
8. How do you break a latch? gently place your finger in the cor-
ner of the baby's mouth and push
down
9. For breastfeeding infants, how often
should you feed? every 1-3 hrs (about 8-12 times a
day)
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P a g e 1 | 6 1

  1. What should be done immediately after feeding? pumping
  2. When should a mother switch breasts? when effective swallowing is no longer observed
  3. Until breastfeeding is established, what needs to be maintained?
  4. Why do we want the mother to fully empty one breast before moving onto the other?
  5. What is some latching education we can provide a mother who it breastfeed- ing?
  6. What can you do if the baby is having a hard time latching? pumping calorie rich milk comes at the end of the feed - sit comfortably with back well supported - baby's shoulders, head, and body should be supported with your hand or arm - baby's ear, shoulder, and hip should be aligned - nipple should be pointed towards the baby's nose with their chin coming to the breast first - if you cannot get a good latch, try he other breast - change position of baby - sandwich the breast
  7. How can we encourage feeding? - 'hard express' a drop of milk to give baby a taste of milk
    • stroke your baby's upper lip to encourage rooting
  8. How do you break a latch? gently place your finger in the cor- ner of the baby's mouth and push down
  9. For breastfeeding infants, how often should you feed? every 1 - 3 hrs (about 8 - 12 times a day)

P a g e 2 | 6 2

  1. For formula feeding infants, how often should you feed?
  2. What behaviors are classified as early cues for feeding in infants?
  3. What behaviors are classified as mid- dle cues for feeding in infants?
  4. What behaviors are classified as late cues for feeding in infants?
  5. A one day old baby's stomach is about the size of a cherry, which is about mL
  6. A two day old baby's stomach is about the size of a walnut, which is about mL
  7. A one week old baby's stomach is about the size of a apricot, which is about mL
  8. A one month old baby's stomach is about the size of a large egg, which is about mL
  9. How will mom know if the baby is get- ting engouh food?
  10. What causes mastitis? every 3 - 4 hrs
    • licking lips, smacking, sucking sounds
    • opening mouth OR sticking out tongue
    • sucking on anything
    • rooting
    • hand in mouth
    • fidgeting/squirming
    • positioning for nursing
    • fussing/crying
    • frantic agitated movements
    • turning red 5 - 7 22 - 27 45 - 60 80 - 150
    • full diapers
    • urine output
    • weight gain
  1. After progestin drops off, picks up. prolactin
  1. Which hormone allows milk to come out of the breast (milk ejection reflex)?
  2. A proper latch and/or smelling the baby's clothes/hearing them cry can trigger what?
  3. How does supply and demand work with breastfeeding?
  4. When is breastfeeding contraindicat- ed?
  5. What is a genetic disease where the infant can't metabolize lactose in the mother's milk? oxytocin oxytocin —> release of milk baby sucks nipple —> nerve cells in nipple signal brain to release oxytocin —> oxytocin causes mus- cles in breast to contract —> breast milk is ejected from milk ducts
    • breast cancer (chemo alters DNA replication & cell division)
    • HIV positive
    • untreated active TB
    • illicit drug use
    • galactosemia galactosemia
  6. How is galactosemia screened? PKU testing
  7. What education can be done for par- ents in preventing thrush?
  8. Baby's should keep their weight loss below %/
  9. What does the acronym LATCH stand for in breastfeeding? sterilize toys, pacifiers, and pumps 8 L = Latch to breast A = Audible swallowing T = Type of nipple C = Comfort level