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42 Cards in this Set
- Front
- Back
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exclusively breast fed for |
6 months continue for 12 months |
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when can you add complementary food |
6 months |
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benefits of breast feeding |
health benefits bonding convienence economical enviormental |
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contraindications to breast feeding |
galactosemia brucelosis TB Herpes on nips HIV chemo varicella substance abuse |
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fluid requirement first 2 days of life |
60-80 ml |
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most abundant carb in milk |
lactulose |
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oligosachardies which are found in milk help with |
the development of microflora in the intestines |
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can you breast feed if have Hep B |
yes |
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lactogenesis |
after birth decrease in estrogen and progesterone triggers release of proclactin from anterior pit gland
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prolactin levels are highest during |
10 days after birth |
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prolactin produced in response to |
infant suckling and emptying of breasts supply meets demand |
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hormone responsible for let down reflex and ejection of milk |
oxytocin |
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main immunoglobulin in milk |
IG |
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high protein in colostrum helps with |
branding of billirubin and the laxative action of colostrum promotes early passage of mconeium |
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as feeding progresses fat content |
increases finish feedings |
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colostrum |
comes in day 1-2 yellow clear fluid more concentrated rich in immunoglobin more protein then normal less fat then mature milk |
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milk production increases as baby grows |
growth spurt at 10 days and 3 wks 6wk 3month 6months |
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feeding readiness cues |
hand to mouth sucking rooting mouthing |
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signs of good feeding |
tugging but no pain rounded checks when sucking jaw glides smoothly swallowing is heard |
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how many times breast feed a day |
every 2-3 hours 8-12 times a day |
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how can you tell if baby is getting enough |
output |
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how much body weight do they usually lose at first |
5-6% then gain 4-7 ounces per wk for the first 3 months |
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should you use bags for long term storage of breast milk |
no use hard sided containers |
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weaning |
dont do abrupt if weaned before 1 yr need iron fortified cows milk |
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how many more calories when BF |
500 |
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do you continue prenatals as long as your breast feeding |
yes |
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can over hydration decrease mll |
yes |
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should you wash nipples with soap |
no |
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should you use lotion on boobs a lot |
no |
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progesterone only contraceptions for women if they are BF but you can't start for |
4 wks |
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if drink can't BF for |
2 hours same with smoking |
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engorgement |
occurs 3-5 days after birth when milk comes in use cold packs, massage, meds, pump |
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plugged milk duct |
will see pearl of milk blocking flow in tip of nipple afebrile mostly from not removing all of milk when BF can cause mastitis: onset of chills, fever, flu like s/s |
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for the first 24-48 house baby drinks how much at one feeding |
15-30 ml |
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how many times should you pump |
8-10 times a day for 15 min per boob |
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Breast milk is more easily digested then formula |
right |
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apgar score for color |
blue 0 pink core but blue hands and feet 1 pink 2 |
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apgar for HR |
none 0 100 or less= 1 over 100= 2 |
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crying apgar |
actively crying=2 grunting=1 none=0 |
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respirations apgar |
none-0 30-60-2 barely 30-1 |
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apgar tone |
limp=0 some flexion=1 actively moving =2 |
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how much should babies weight at birth |
6-8.5 |
