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16 Cards in this Set
- Front
- Back
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What are the benefits from breastfeeding?
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1. acceleration of recovery- reduces change of hemorrhage
2. reduction in maternal response to stress -(due to neuroendocrin peptides, oxytocin and prolactin, produce positive impact on social behaviors and materan infant bonding) 3. Weight loss 4. prolongation of postpartum anovulatoin 5. decrease rx of breast and ovarian CA 6. bones 7 Cardiovascular disease |
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What are the GI benefits of breast feeding?
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1. stimulates intestinal growth and function
2. growth factors 3. increased gastric emptying 4. decreased risk necrotising enterocolitis (NEC) |
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with breast feeding what supplemental vitamins do you have to give the babies?
What are dehydration symptoms? |
supplemental vitamin D and iron
Dehydration symptoms • Fever • Listlessness • Skin loosing its resiliency • Weak cry |
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What does audible swallowing sound like?
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ka-ka
- short forceful expirations of air through nose - during 1st 24 hrs, infant may do 8-10 sucks preceding a swallow |
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Give examples of 6 incorrect sucking patterns
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• Protruding or thrusting tongue
• Tongue against hard palate • Back of tongue elevated • Flat tongue • Infant bites with gums • Weak or no suck |
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Describe the correct sucking pattern
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• Tongue curves around the finger
• Tongue is beneath the finger • Tongue is over the gum line • Complete seal is formed around the finger • Negative pressure • Rhythmic pattern of the suck |
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What are nipple shields used?
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1. flat nips
2. pre-term 3. do not use for babies who have latching problems |
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When do you use a pump?
What do you not pump? |
1. Poor stimulation
2. pre-term, poor nurser, breast surgery, hormones, other stuff - no risk factors and nursing works |
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WHEN DO YOU SUPPLEMENT BREAST FEEDING?
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1. not nursing at all for 6-8 hrs
2. low blood sugar 3. breast reductions 4. weight loss> 10% 5. prevent predictable situation; pre-term, weak suck, mom sick, other |
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HOW MUCH DO YOU SUPPLEMENT BREAST FEEDING?
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1st day= 7 ml/q3-4 hrs
2nd day= 10ml 3rd day= 15 ml 4th day= 20-30 ml |
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Ways to give supplement?
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NO BOTTLE
1. cup- for baby is sucking and swallowing well 2. finger feed- for baby who cant or wont suck, insert gloved finger to base of tongue... mother should pump |
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Birth when is supposed to be breast feeding?
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birth to 2 hrs- this is the most important feeding
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What is an early cue to feeding?
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arms bent, hands fisted
- hands at face and head - sucking - open mouth - tongue out and mouthing motions - head bobbing |
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Most important indicator that milk transfer is happening...
Whats normal weight gain |
F/u weight checks- most infants surpass their birth weights by 10-14 days
1 lb every two weeks |
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Brickdust urine
What about dark meconium |
common finding first couple days means slightly dehydrated
dark meconium in an infant more than 3 days is insufficient intake indicator |
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Indicators of sufficient of intake
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• 6+ voids / 24 hours
• 4+ stools / 24 hours • Content after feeds • Wakes to be fed |
