NSNE 7200 FINAL QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
health challenges that affect PREMATURE infants - Ans✓✓✓- F&E
imbalance
- RDS
- hyperoxia
- poor suck & swallow reflex
- BPD
- PDA
- NEC
- AOP
- IVH
- PVL
- pneumonia
health challenges that affect TERM/POST-TERM infants - Ans✓✓✓-
intrapartum asphyxia
- MAS
- PPHN
- HIE
,lactogenesis vs. galactopoeisis - Ans✓✓✓lactogensis = initiation of milk
production triggered by drop in estrogen, lactogen, progesterone which
allows prolactin levels to rise
galactopoeisis = ongoing milk production
what affects galactopoeisis? - Ans✓✓✓- sensory stimulation, i.e., infant
suckling
- breast emptying
- supply & demand
- milk-ejection reflex
common health challenges that increase vulnerability associated with
early discharge of TERM infants - Ans✓✓✓- difficulty with BF
- jaundice
- dehydration
CCHD screening (3 points) - Ans✓✓✓- pulse ox measurement of R
hand + either foot
- O2 sats must be above 95% and difference b/w hand & foot should be
3% or less
- infant immediately fails if O2 sats <90% or after 3 tries
whey in breast milk - Ans✓✓✓- smooth & easily digestible
,- higher in content in early lactation (90%)
casein in breast milk - Ans✓✓✓- less digestible; requires more enr to
breakdown
- enhances absorption of iron to prevent iron-dependent bacteria from
proliferating in GI
important factors in milk transfer (3 points) - Ans✓✓✓- compression
- suction
- tongue action
feeding cues (3 points) - Ans✓✓✓- bringing hands to mouth
- rooting
- mouthing & sucking motions
preparing for a feed (3 points) - Ans✓✓✓- help mom get into a
comfortable position with back, head, and arms supported
- position baby belly-to-belly, STS
- prop baby up so body is aligned with breasts
- infant's head & body aligned
basic BF positions (3 points) - Ans✓✓✓- cradle
- side-lying
, - football
promoting good latch when breasts are large & soft (4 points) -
Ans✓✓✓- support breast by using C-hold
- wait until baby's mouth is wide-open; jaw to be as far back as possible
- lead latch with chin
- draw baby firmly towards breast with nipple centred b/w tongue &
baby's upper lip; bodies close
signs of good latch (6 points) - Ans✓✓✓- tugging sensation on nipple
(not pain)
- mouth wide open
- lips flanged outward
- tongue cupped beneath breast
- tip of nose & chin are touching breast
- cheeks are rounded (not sucked in or dimpled)
signs of good suck (6 points) - Ans✓✓✓- begins with quick sucking to
stimulate let down, then becomes deep & rhythmical
- regular audible swallowing
- observable "wiggle" at junction of ear & temple
- no audible smacking or clicking
- BF is comfortable for mom
- baby ends feed on own
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
health challenges that affect PREMATURE infants - Ans✓✓✓- F&E
imbalance
- RDS
- hyperoxia
- poor suck & swallow reflex
- BPD
- PDA
- NEC
- AOP
- IVH
- PVL
- pneumonia
health challenges that affect TERM/POST-TERM infants - Ans✓✓✓-
intrapartum asphyxia
- MAS
- PPHN
- HIE
,lactogenesis vs. galactopoeisis - Ans✓✓✓lactogensis = initiation of milk
production triggered by drop in estrogen, lactogen, progesterone which
allows prolactin levels to rise
galactopoeisis = ongoing milk production
what affects galactopoeisis? - Ans✓✓✓- sensory stimulation, i.e., infant
suckling
- breast emptying
- supply & demand
- milk-ejection reflex
common health challenges that increase vulnerability associated with
early discharge of TERM infants - Ans✓✓✓- difficulty with BF
- jaundice
- dehydration
CCHD screening (3 points) - Ans✓✓✓- pulse ox measurement of R
hand + either foot
- O2 sats must be above 95% and difference b/w hand & foot should be
3% or less
- infant immediately fails if O2 sats <90% or after 3 tries
whey in breast milk - Ans✓✓✓- smooth & easily digestible
,- higher in content in early lactation (90%)
casein in breast milk - Ans✓✓✓- less digestible; requires more enr to
breakdown
- enhances absorption of iron to prevent iron-dependent bacteria from
proliferating in GI
important factors in milk transfer (3 points) - Ans✓✓✓- compression
- suction
- tongue action
feeding cues (3 points) - Ans✓✓✓- bringing hands to mouth
- rooting
- mouthing & sucking motions
preparing for a feed (3 points) - Ans✓✓✓- help mom get into a
comfortable position with back, head, and arms supported
- position baby belly-to-belly, STS
- prop baby up so body is aligned with breasts
- infant's head & body aligned
basic BF positions (3 points) - Ans✓✓✓- cradle
- side-lying
, - football
promoting good latch when breasts are large & soft (4 points) -
Ans✓✓✓- support breast by using C-hold
- wait until baby's mouth is wide-open; jaw to be as far back as possible
- lead latch with chin
- draw baby firmly towards breast with nipple centred b/w tongue &
baby's upper lip; bodies close
signs of good latch (6 points) - Ans✓✓✓- tugging sensation on nipple
(not pain)
- mouth wide open
- lips flanged outward
- tongue cupped beneath breast
- tip of nose & chin are touching breast
- cheeks are rounded (not sucked in or dimpled)
signs of good suck (6 points) - Ans✓✓✓- begins with quick sucking to
stimulate let down, then becomes deep & rhythmical
- regular audible swallowing
- observable "wiggle" at junction of ear & temple
- no audible smacking or clicking
- BF is comfortable for mom
- baby ends feed on own
