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79 Cards in this Set
- Front
- Back
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Roughage is aka
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fiber
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The breast feeding mother should take prenatal vitamins to decrease baby's
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chance of cancer
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If mother is undergoing chemo or has infection, is it okay for her to breast feed?
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no
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Bottle preparation: Wash bottles in:
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dishwater or hot soapy water (rinse well)
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Bottle preparation: how should you clean nipples?
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boil them
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Bottle preparation: what if you have well water?
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boil it (not necessary with city water)
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Breast feeding is equivalent to how much exercise?
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1hr cycling/swimming 30 laps
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Formula preparation: Formula can be prepared in advance and stored in refrigerator for up to:
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24h
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Formula preparation: after feeding, do what with the unused formula?
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discard it
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Formula preparation: follow _________ for prepartion.
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manufacturers
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Formula preparation: never heat formula:
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in microwave
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Feeding and burping: Newborns start with ___-___oz each feeding
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1-2
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Feeding and burping: Increase amt. by 1/2 oz if:
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baby seems hungry or finishes entire bottle
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Feeding and burping: feed when formula is _________ or slightly _________
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at room temp
warmed |
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feeding and burping: _____ ____ to be sure there are no hot spots
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shake bottle
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Feeding and Burping: check ___ for hole size and air
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nipple
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Feeding and Burping: Never prop bottle or
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put infant to sleep with bottle.
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Feeding and Burping: When should you burp the baby?
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halfway through feeding
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Feeding and Burping: _________ is normal.__________is not normal.
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Spitting up
Vomiting |
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Frequency of feeding: __-__x per day
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6-12
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____________ is considered the best methoed of feeding in most circumstances
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breastfeeding
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Studies show that breastfeeding rates are most affected by ____ and ______ supplied by formula companies.
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d/c materials
samples |
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Physiology of breastfeeding:
During pregnancy: |
Estrogen and progesterone prepare breasts
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Physiology of breastfeeding:
Following delivery, there is a fall in ______ which stimulates prolactin and stimulates milk production |
progesterone
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Physiology of breastfeeding: Post Partum: Infant suckin stimulates hypothalmus, which stimulates the posterior pituitary to release ______
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oxytocin
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Physiology of breastfeeding: Oxytocin causes:
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let down reflex
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An involuntary reflex during breastfeeding which causes the milk to flow freely
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Let down reflex
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Types of Milk: Colostrum: ____,____ (may be present before baby is born)
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thick yellow
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Types of Milk: Colostrum: high in ________ and high in __________.
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immunoglobulins
protein |
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Types of Milk: colostrum: helps baby:
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have first BM
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Types of Milk: Transitional milk is high in: (5)
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protein
vitamins fat lactose calories |
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USDHHS breastfeeding goal for 2010:
-__% newborns -__% at 6 months -__% at 12 months |
-75
50 25 |
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Types of Milk: Mature milk: 90% _____. Needed for baby's hydration.
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water
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Types of Milk: Mature milk: 10% ___, ___, ___. Needed for growth and energy.
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protein
fat carbs |
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Types of Milk: Foremilk: Very beginning of feeding. It contains:
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water
vitamins protein |
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Types of Milk: Hindmilk: after initial release. It is necessary for growth. It's loaded with _____(=wt. gain)
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fats
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Assessment of Breasts: Breast tissue: observe for: (3)
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size
color contour |
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Assessment of Breasts: Breast tissue: Palpate to determine:
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degree of firmness
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Assessment of Breasts: Breast tissue: Day of delivery (PP day 1):
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generally soft
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Assessment of Breasts: Breast tissue: PP day 2:
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filling
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Assessment of Breasts: Breast tissue: PP day 3 ____ and ______. Then _______ happens.
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firm and warm
engorgement |
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Assessment of Breasts: Nipples and Areola: assess for any: (4)
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cracks
fissures soreness bruising |
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Assessment of Breasts: Nipples and Areola: If nipples have cracks, fissures, soreness or bruising, treat with _____ or _____. Do not use ______.
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ointment/water
soap |
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Assessment of Breasts: Nipples and Areola: Assess to see if nipples are either:
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inverted, everted
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Nursing care for engorgement: Comfort measure for bottle feeding mothers:
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tight bras
ice packs cold cabbage leaves |
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Nursing care for engorgement: Comfort measure for lactating mothers:
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warm compress (no more then 20 minutes)/shower
techniques to promote comfort |
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Breastfeeding: Determine if infant is eating enough.
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If falling asleep, baby is exhausted from trying.
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Benefits of lactation: Infant and mother: Breast milk contains just the right balance of ________ for the baby
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nutrients
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Benefits of lactation: Infant and mother: breast milk contains______to help baby resist certain infections.
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antibodies
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Benefits of lactation: Infant and mother: Breast milk is ____ to digest then commercial formula
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easier
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Benefits of lactation: Infant and mother: The nutrients in breast milk are _____ _______ than those in formula
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more absorbable
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Benefits of lactation: Infant and mother: Because breast fed babies have a digestive advantage over formula fed babies, they usually have ____,____ and ____ ____ diapers
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smaller
softer less smelly |
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Benefits of lactation: Key to Lactation success:
1. Need to be comfortable ________. 2. Need to view lactation as _______ 3. ________ are excreted in breast milk |
1. with own body
2. non sexual 3. medications |
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Whenever possible, _____ is the best choice for mother and baby
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breastfeeding
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________ block iron absorption
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herbal teas
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Full term caloric needs per day: ___-___kcal/kg body wt.
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110-120
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Full term caloric needs per day:___-___kcal/lb body wt.
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50-55
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9lb newborn = 4kg newborn
So 9 x ___ or 4 x ___ |
50
110 |
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A 9lb newborn requires approximately ___kcal/day or 23oz formula/breast milk a day
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450
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breast milk and formulas have ___kcal/oz
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20
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What is the % of mothers who breast feed today?
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70
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___% of moms with gestational diabetes will develop diabetes later in life
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60
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When can baby start having foods from table?
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8mo-1yr
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From birth to 4months of age:
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swallows/sucks liquid
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3 major concerns of PP mom:
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diet
exercise sleep |
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whole milk is not recommended for 1st ____months, this will deplete ____stores.
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12
iron |
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Nursing Moms should have:
___serving of vit c ___serving of milk/cheese ___-___servings of meats/poultry/fish/beans ___serving of veg/fruit ___serving of whole grain |
1
3 3-4 5 7 |
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Topical Yeast infection. Goes hand in hand with thrush. Most vulnerable women with vaginal yeast infections.
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milial infections
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If milial infection: treast mother and infant with ____ ___ ___ (____)
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topical anti infective (nystatin)
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Usually occurs within first three months postpartum, but it can happen at any time during breast feeding.
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mastitis
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mastitis tends to affect _________. The signs and symptoms can appear suddenly.
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only one breast not both
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Signs and symptoms of mastitis:
-General _______ or feeling ill -______ of the breast -___/___ sensation continuously or while breast feeding -___ ____, often in a wedge shaped pattern -fever of ___F or greater |
malaise
swelling pain/burning skin redness 101` |
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Txt for Mastitis:
Avoid prolonged _____ before breast feeding. |
engorgement
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Txt for Mastitis: Use varied ______ to breast feed
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positions
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Txt for Mastitis: Drink plenty of
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fluids
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Txt for Mastitis: wear
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supportive bra
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Txt for Mastitis: for pain relief, mother may take a mild pain reliever such as ______ or _______
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acetaminophen/ibuprofin
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Txt for Mastitis: Keep
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milk flowing in infected breast
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mastitis generally occurs in 1st
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3months
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