PPN 301: Labor Postpartum & Infancy-
Practice Questions with Complete
Solutions.
you want to start breast feeding ASAP b/c - Answer - stimulates release of oxytocin from brain
why is human milk the gold standard of infant nutrition - Answer rich w/ amino acids,
antibodies (protect body from infection), hgb & fats
recommended time frames for infant nutrition - Answer 1) first 1 hr: early initiation of
breastfeeding w/in first hr of birth
6) first 6 months: exclusive breastfeeding for first 6 months of life
2) first 2 yrs: introduce nutritionally-adequate & safe complementary solid foods w/ continued
breast feeding from 6 mos - 2 yrs
benefits of breastfeeding for infant - Answer - reduced infant & child mortality
- enhanced maturation of GI tract
- decreased risk for gastroenteritis, celiac disease, crohn disease, preterm infants, obesity
- lower incidence of certain allergies
- less likely to die from SIDS
- protective against t1 & t2 DM
- enhance cognitive developmental for term & preterm infants
benefits of breastfeeding for mother - Answer - decreased postpartum bleeding & more rapid
uterine involution
- decreased risk of cancers, arthritis, HTN, cardiovascular disease & t2 diabetes
- helps in postpartum weight loss
- delayed return of menses
- bonding experience
- may provide protection against mood disorders
benefits of breastfeeding for family & society - Answer - convenient
- no bottles or other equipment
- less expensive than formula
- reduced health care costs
- less parental absence from work d/t ill infant
, - reduced environmental burden
contraindications to breastfeeding - Answer - maternal hep positive
- cytomegalovirus positive
- herpes on breast
- maternal cancer therapy
- active tb not under treatment
- HIV infection
- galactosemia in infant
- maternal substance use
- leukemia
- some medications
Baby Friendly Hospital Initiative - Answer - global effort to promote & support worldwide
breastfeeding as the model for optimum infant nutrition
benefits of baby friendly hospital initiative - Answer - increased pt-centred care
- improved staff attitudes about infant feeding
- increased staff skill levels
- dramatic decrease in use of instant formula
- increased contact b/w mother & infants d/t decrease in nurseries
physiology of lactation - Answer 1) latch on/sucking from baby stimulates brain to release
oxytocin
2) muscle contraction in milk gland which squeezes milk toward duct where nipple is located
education for breastfeeding to patients - Answer - skin to skin contact
- promote rooming-in 24 hrs and day, & encourage family support
- early, frequent feeding at least 8-12 times per day
- latch-on and positioning
cue-based feeding - Answer - hand-to-mouth or hand-to-hand movements
- sucking motion
- rooting reflex
- mouthing
Practice Questions with Complete
Solutions.
you want to start breast feeding ASAP b/c - Answer - stimulates release of oxytocin from brain
why is human milk the gold standard of infant nutrition - Answer rich w/ amino acids,
antibodies (protect body from infection), hgb & fats
recommended time frames for infant nutrition - Answer 1) first 1 hr: early initiation of
breastfeeding w/in first hr of birth
6) first 6 months: exclusive breastfeeding for first 6 months of life
2) first 2 yrs: introduce nutritionally-adequate & safe complementary solid foods w/ continued
breast feeding from 6 mos - 2 yrs
benefits of breastfeeding for infant - Answer - reduced infant & child mortality
- enhanced maturation of GI tract
- decreased risk for gastroenteritis, celiac disease, crohn disease, preterm infants, obesity
- lower incidence of certain allergies
- less likely to die from SIDS
- protective against t1 & t2 DM
- enhance cognitive developmental for term & preterm infants
benefits of breastfeeding for mother - Answer - decreased postpartum bleeding & more rapid
uterine involution
- decreased risk of cancers, arthritis, HTN, cardiovascular disease & t2 diabetes
- helps in postpartum weight loss
- delayed return of menses
- bonding experience
- may provide protection against mood disorders
benefits of breastfeeding for family & society - Answer - convenient
- no bottles or other equipment
- less expensive than formula
- reduced health care costs
- less parental absence from work d/t ill infant
, - reduced environmental burden
contraindications to breastfeeding - Answer - maternal hep positive
- cytomegalovirus positive
- herpes on breast
- maternal cancer therapy
- active tb not under treatment
- HIV infection
- galactosemia in infant
- maternal substance use
- leukemia
- some medications
Baby Friendly Hospital Initiative - Answer - global effort to promote & support worldwide
breastfeeding as the model for optimum infant nutrition
benefits of baby friendly hospital initiative - Answer - increased pt-centred care
- improved staff attitudes about infant feeding
- increased staff skill levels
- dramatic decrease in use of instant formula
- increased contact b/w mother & infants d/t decrease in nurseries
physiology of lactation - Answer 1) latch on/sucking from baby stimulates brain to release
oxytocin
2) muscle contraction in milk gland which squeezes milk toward duct where nipple is located
education for breastfeeding to patients - Answer - skin to skin contact
- promote rooming-in 24 hrs and day, & encourage family support
- early, frequent feeding at least 8-12 times per day
- latch-on and positioning
cue-based feeding - Answer - hand-to-mouth or hand-to-hand movements
- sucking motion
- rooting reflex
- mouthing
