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14 Cards in this Set
- Front
- Back
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What are the three main advantages to breast feeding?
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1. It is the perfect food for newborns
2. Accelerates involution on uterus postpartum 3. Immunologic benefits to the newborn- IgA |
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Describe the first step of lactation immediately after delivery...
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1. Drop in placental hormones (estrogen),
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Describe the second step of lactation immediately after delivery...
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Suckling begins the secretion of prolactin and
oxytocin results in contraction of myoepithelial cells in the alveoli and milk ducts |
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What is role of prolactin
oytocin? |
is the principle hormone for the synthesis of milk and the maintenance of lactation
Oxytocin is responsible for the release of stored milk by a sensory stimulation from the nipple areola complex |
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What is colostrum?
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Colostrum is what has the immunological benefits to the baby made of proteins, fat and minerals, has IgA
- secreted second day after delivery |
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What are the unique components to breast milk?
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casien
lactalbumin beta-lactoglobulin |
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Mature milk secretion is at what per day?
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Mature milk secretion is about 1 to 2 ml/g of breast of tissue per day
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Average frequency of nursing?
What are some complications of breastfeeding (cracked nipple)? (how do u treat)? |
every 2-3 hrs but this varies
- cracked nipples- may allow for bacteria to enter use nipple shield and creams- lanolin |
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Breast is warm and I feel awful... what do you think I have?
How do you treat? |
Mastitis- usually staph aureus use dicloxacilin for 7-10 days
1. Fever 2. erythema 3. pain and induration usually 2-4 weeks post partum |
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What are techniques to increase milk production?
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1. increase frequency or duration of feedings
2. increase fluid intake 3. Fenugreek 4. Metoclopramide 5. intranasal oxytocin (for let down problems) 6. Seek help from lactation consultant |
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Besides staph aureus what other infection is part of mastitis... what is common complaint clinically?
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yeast- stings... not red or burning but a stinging
- diflucan |
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What do you want to do if u want to stop breast feeding?
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1. tight bra
2. tylenol or motrin 3. Ice (no heating) 4. Avoid stimulation |
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What effect do the following have on the infant... (when breast feeding)
a. sedatives b. antipsychotics c. acetaminophen |
a. sedation
b. no effect c. no effect |
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What effect do the following have on the infant... (when breast feeding)
a. salicylates b. anticonvulsants c. antibiotics d. propylthiouracil |
a. platelet dysfunction
b. sedation and decreased sucking c. alter gut flora, cause allergy or interfer with infection work-up d. nodular goiter |
