IBCLC Exam Flashcards UPDATED 2024

Micrognathia Condition where jaw is undersized; common but can interfere with feeding and breathing PKU (phenylketonuria) Body does not produce enzyme to break-down amino acid phenylalanine and this builds-ups in blood; need low phe formula and CAN breastfeed Maple Syrup Disease Body is unable to break-down certain proteins/amino acids (leucine); sweet smelling urine. Need low protein diet/special formula i.e. Ketonex-1. BF CONTRAINDICATED Galactosemia Rare genetic (metabolic) disorder; cannot metabolize galactose. BM is Lactose (galactose/glucose) - need soy-based formula - BF CONTRAINDICATED Wessel's Rule of 3 (Colic) 3 hours per day 3 x per week for 3 weeks Down Syndrome Marked hypotonia; decreased suck-swallow-breathe coordination, large tongue with poor control, poor gape and mouth control - Dancer Hold for BFing Hypotonia Decreased muscle tone; "floppy" difficulty coordinating suck-swallow-breathe poor gape and mouth control poor search and tongue extension loss of suction long/slow feeds Dancer Hold for BFing w/ upright positioing; tube at breast prn - switch nursing & compressions Hypertonia High, rigid muscle tone; rigid tight jaw, clamping down on breast restricted tongue movement Finger feeding in prone position over the arm of an adult before BFing - use prone (tummy down) position; increased SSC, swing in blanket, colic hold Hypoglycemia DOES NOT occur in healthy full-term infants at 8 hrs after birth, whether fed or not, a normal full-term infant will have a normal blood sugar level Routine blood glucose testing IS NOT recommended S&S = jittery, lethary, high-pitch cry, exaggerated MORO, hypotonia, inadequate sucking reflex S&S + 45mg/dL - clinical intervention needed Risks but no S&S + 36 mg/dL - close surveillance +++SSC, early, frequent BFing Hyperbilirubinemia (Jaundice) Most common in first week (physiologic jaundice) accumulation of unconjugated bilirubin Caused by inadequate intake in first days of life; prolonged intestinal transit and delay in passing meconium - weight loss of 7% BFing management, SSC - increase feeding Kernicterus