NSPN 7100 QUESTIONS AND ANSWERS SET A+
✔✔Weight loss - ✔✔up to 8% is normal in the first few days
8-10% warrants attention
>10% is a red flag
weight should be regained by 2 weeks
20-30g a day by the 5th day is normal
✔✔Top 3 reasons moms dont breastfeed - ✔✔1. mom has medical condition
2. bottle feeding is easier
3. breastfeeding is unappealing
✔✔Contraindications for breastfeeding - ✔✔Maternal HIV
Active untreated TB
Ebola
Herpes lesions on breast
Chicken pox
Drug use
T cell lymphotropic virus
✔✔Formula feeding guidelines - ✔✔15-30ml/feed for first 24-24hr
60-90ml/feed after
usually 2.5oz/lb in 24hrs
✔✔Benefits of breastfeeding premature infants - ✔✔- decreased incidence of NEC
- decreased risk for allergy
- increased feeding tolerance
- improved retinal function
- improved neurocognitive development
- reduced heart disease later in life
- faster weight gain
, ✔✔How does premie milk differ from term milk? - ✔✔increased protein, more specific
lipid content and higher IgA
✔✔10 steps for promoting and protecting breastfeeding - ✔✔1. Informed decision
2. Establishment and maintenance of milk supply
3. Human milk management
4. Oral care and feeding of human milk
5. skin to skin
6. Non nutritive sucking
7. transition to breast
8. measurement of milk transfer
9. preparation for discharge
10. appropriate follow up
✔✔Average blood loss in a vaginal birth - ✔✔300-500ml
✔✔Average blood loss in a c-section - ✔✔500-1000ml
✔✔Where is the fundus at the end of the third stage of labour? - ✔✔-2
✔✔Where is the fungus 12hrs post birth? - ✔✔+1
✔✔Where is the umbilicus 24hrs post birth? - ✔✔at the umbilicus
✔✔Lochia rubra - ✔✔bright red, 3-4 days
✔✔Locia serosa - ✔✔pink/brown, 10-14 days
✔✔Lochia alba - ✔✔yellow/white 4-8 weeks
✔✔Risk factors for tearing - ✔✔- nutritional status
- birth position
- pelvic anatomy
- fetal presentation/position
- large infant
- forceps/vacuum
- prolonged pushing
- precipitous labour
✔✔REEDA - ✔✔Redness
Edema
Ecchymosis
Discharge
Approximation
✔✔Weight loss - ✔✔up to 8% is normal in the first few days
8-10% warrants attention
>10% is a red flag
weight should be regained by 2 weeks
20-30g a day by the 5th day is normal
✔✔Top 3 reasons moms dont breastfeed - ✔✔1. mom has medical condition
2. bottle feeding is easier
3. breastfeeding is unappealing
✔✔Contraindications for breastfeeding - ✔✔Maternal HIV
Active untreated TB
Ebola
Herpes lesions on breast
Chicken pox
Drug use
T cell lymphotropic virus
✔✔Formula feeding guidelines - ✔✔15-30ml/feed for first 24-24hr
60-90ml/feed after
usually 2.5oz/lb in 24hrs
✔✔Benefits of breastfeeding premature infants - ✔✔- decreased incidence of NEC
- decreased risk for allergy
- increased feeding tolerance
- improved retinal function
- improved neurocognitive development
- reduced heart disease later in life
- faster weight gain
, ✔✔How does premie milk differ from term milk? - ✔✔increased protein, more specific
lipid content and higher IgA
✔✔10 steps for promoting and protecting breastfeeding - ✔✔1. Informed decision
2. Establishment and maintenance of milk supply
3. Human milk management
4. Oral care and feeding of human milk
5. skin to skin
6. Non nutritive sucking
7. transition to breast
8. measurement of milk transfer
9. preparation for discharge
10. appropriate follow up
✔✔Average blood loss in a vaginal birth - ✔✔300-500ml
✔✔Average blood loss in a c-section - ✔✔500-1000ml
✔✔Where is the fundus at the end of the third stage of labour? - ✔✔-2
✔✔Where is the fungus 12hrs post birth? - ✔✔+1
✔✔Where is the umbilicus 24hrs post birth? - ✔✔at the umbilicus
✔✔Lochia rubra - ✔✔bright red, 3-4 days
✔✔Locia serosa - ✔✔pink/brown, 10-14 days
✔✔Lochia alba - ✔✔yellow/white 4-8 weeks
✔✔Risk factors for tearing - ✔✔- nutritional status
- birth position
- pelvic anatomy
- fetal presentation/position
- large infant
- forceps/vacuum
- prolonged pushing
- precipitous labour
✔✔REEDA - ✔✔Redness
Edema
Ecchymosis
Discharge
Approximation
